Organization
FORREST G. BALE, DDS ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FORREST GARNETT BALE DDS (OWNER)
(479) 968-1334
Entity
Organization
Contact information
Practice address
319 S GLENWOOD AVE, RUSSELLVILLE, AR 72801-5906
(479) 968-1334
(479) 968-8912
Mailing address
319 S GLENWOOD AVE, RUSSELLVILLE, AR 72801-5906
(479) 968-1334
(479) 968-8912
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3799
AR
Other
Enumeration date
10/19/2012
Last updated
12/30/2020
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