Organization
NORTHWEST DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY R WETZLER (OFFICE MANAGER)
(479) 521-0066
Entity
Organization
Contact information
Practice address
2680 EAST JOYCE BLVD, FAYETTEVILLE, AR 72703
(479) 521-0066
(479) 443-6542
Mailing address
2680 EAST JOYCE BLVD, FAYETTEVILLE, AR 72703
(479) 521-0066
(479) 443-6542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3407
AR
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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