Organization
OZARK MODERN DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA NICHOLE KNOX DDS (OWNER)
(214) 620-4268
Entity
Organization
Contact information
Practice address
101 GRANT PLACE SUITE C, LOWELL, AR 72745
(214) 620-4268
Mailing address
101 GRANT PLACE SUITE C, LOWELL, AR 72745
(214) 620-4268
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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