Organization
LITTLE ROCK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRADFORD CRUSE DMD (DENTIST)
(501) 224-6333
Entity
Organization
Contact information
Practice address
9601 LILE DR, SUITE 950, LITTLE ROCK, AR 72205-6321
(501) 224-6333
(501) 224-7222
Mailing address
9601 LILE DR, SUITE 950, LITTLE ROCK, AR 72205-6321
(501) 224-6333
(501) 224-7222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3834
AR
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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