Individual
DR. ROBERT R CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
818 W SOUTH ST, BENTON, AR 72015-4162
(501) 776-0564
Mailing address
818 W SOUTH ST, BENTON, AR 72015-4162
(501) 776-0564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2501
AR
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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