Organization
VILONIA FAMILY DENTAL PLLC
Active
Other names
Vilonia Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (LEAD OF CREDNTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1163 MAIN ST STE 106, VILONIA, AR 72173-8083
(501) 222-9144
Mailing address
1163 MAIN ST STE 106, VILONIA, AR 72173-8083
(501) 222-9144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
03/21/2022
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