Organization
SOH OF ARKANSAS WILLIAM WELLFORD PC
Active
Parent organization
DENTAL CARE OF FAYETTEVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL CARE OF FAYETTEVILLE
Authorized official
RAY WEBER (REGIONAL SUPPORT SPECIALIST)
(314) 753-8154
Entity
Organization
Contact information
Practice address
2868 W MARTIN LUTHER KING BLVD, FAYETTEVILLE, AR 72704-7625
(870) 672-2407
Mailing address
2868 W MARTIN LUTHER KING BLVD, FAYETTEVILLE, AR 72704-7625
(870) 672-2407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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