Organization
MODERN DENTAL PROFESSIONALS-SMITH PA
Active
Other names
Monarch Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SMITH DDS (PC PRESIDENT)
(214) 701-6694
Entity
Organization
Contact information
Practice address
3801 CAMDEN ROAD, SUITE 11, PINE BLUFF, AR 71603
(479) 646-1979
Mailing address
8415 DATAPOINT DR STE 1020, SAN ANTONIO, TX 78229-3277
(479) 646-1979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3250
AR
Other
Enumeration date
11/16/2006
Last updated
09/27/2024
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