Organization
RILEY FARM DENTAL & BRACES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA SPARKMAN (BOOKKEEPER)
(479) 739-6596
Entity
Organization
Contact information
Practice address
5901 RILEY PARK DR., SUITE Q, FORT SMITH, AR 72916
(479) 226-3500
Mailing address
307 E RAY FINE BLVD STE 1, ROLAND, OK 74954-5160
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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