Organization
G FRIEND DDS MS & M WILSON DDS MS PA
Active
Other names
Conway Pediatric Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD W FRIEND DDS MS (OWNER)
(501) 730-0375
Entity
Organization
Contact information
Practice address
2700 ALLYSON LANE, CONWAY, AR 72034
(501) 730-0375
(501) 730-0335
Mailing address
PO BOX 11020, CONWAY, AR 72034-0018
(501) 730-0375
(501) 730-0335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2793
AR
1223P0221X
Pediatric Dentistry
2817
AR
1223P0221X
Pediatric Dentistry
Primary
3475
AR
Other
Enumeration date
08/26/2005
Last updated
08/22/2020
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