Organization
WARDLAW ORTHODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY D COVERT (OFFICE COORDINATOR)
(501) 227-5757
Entity
Organization
Contact information
Practice address
8315 CANTRELL RD STE 100, LITTLE ROCK, AR 72227-2354
(501) 227-5757
(501) 227-0139
Mailing address
8315 CANTRELL RD STE 100, LITTLE ROCK, AR 72227-2354
(501) 227-5757
(501) 227-0139
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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