Organization
CENTRE @ 10 DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DRAKE A HAWKINS D.D.S (CEO)
(501) 224-5511
Entity
Organization
Contact information
Practice address
12921 CANTRELL RD, 301, LITTLE ROCK, AR 72223-1713
(501) 224-5511
(501) 224-2405
Mailing address
12921 CANTRELL RD, 301, LITTLE ROCK, AR 72223-1713
(501) 224-5511
(501) 224-2405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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