Organization
LAFAYETTE COUNTY DENTAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILES WILLIS JR. DDS (PRESIDENT)
(202) 276-6329
Entity
Organization
Contact information
Practice address
506 THOMAS ST, STAMPS, AR 71860-2540
(202) 276-6329
Mailing address
506 THOMAS ST, STAMPS, AR 71860-2540
(202) 276-6329
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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