Organization
WARREN DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL W. WARREN D.D.S. (OWNER)
(501) 745-4656
Entity
Organization
Contact information
Practice address
390 FACTORY RD, SUITE A, CLINTON, AR 72031-6742
(501) 745-4656
(501) 745-6317
Mailing address
390 FACTORY RD, SUITE A, CLINTON, AR 72031-6742
(501) 745-4656
(501) 745-6317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2140
AR
1223G0001X
General Practice Dentistry
Primary
3528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187471631
—
AR
Enumeration date
03/27/2007
Last updated
02/04/2020
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