Organization
K&E ADVANCED DENTISTRY GPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LITTLE (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
3420 ATRIUM BLVD STE 100, MIDDLETOWN, OH 45005-5186
(855) 912-7677
Mailing address
PO BOX 17151, JONESBORO, AR 72403-6720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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