Organization
AXPM-HARRISON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L DAKE (DDS)
(501) 781-2777
Entity
Organization
Contact information
Practice address
303 EUREKA AVE, BERRYVILLE, AR 72616-3833
(501) 781-2777
Mailing address
PO BOX 3450, LITTLE ROCK, AR 72203-3450
(501) 781-2777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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