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Individual

DR. NOBLE SKIDMORE DALLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1 PROFESSIONAL DR, BELLA VISTA, AR 72714-2462
(479) 855-9554
Mailing address
1 PROFESSIONAL DR, BELLA VISTA, AR 72714-2462
(479) 855-9554

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2249
AR

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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