Organization
KYLE W. HARRIS DDS. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE W. HARRIS (DENTIST)
(479) 756-6181
Entity
Organization
Contact information
Practice address
711 QUANDT, SPRINGDALE, AR 72764
(479) 756-6181
(479) 750-1924
Mailing address
711 QUANDT, SPRINGDALE, AR 72764
(479) 756-6181
(479) 750-1924
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166540631
—
AR
Enumeration date
09/20/2006
Last updated
02/12/2020
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