Organization
WILLIAMS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS M FREEMAN (OFFICE MANAGER)
(501) 337-9212
Entity
Organization
Contact information
Practice address
372 CORAL RD, MALVERN, AR 72104-7108
(501) 337-9212
(501) 337-0280
Mailing address
PO BOX 278, MALVERN, AR 72104-0278
(501) 337-9212
(501) 337-0280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2031
AR
Other
Enumeration date
09/09/2009
Last updated
01/11/2011
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