Organization
RIVER DENTAL ROGERS SOUTH, PLLC
Active
Other names
River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
2603 W PLEASANT GROVE RD STE 111, ROGERS, AR 72758-8514
(479) 282-1023
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
02/18/2020
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