Organization
GPS: SANGO FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R LITTLE DDS (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
1011 TN-76, CLARKSVILLE, TN 37043
(931) 201-9218
Mailing address
100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900
(870) 243-4406
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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