Organization
BENTON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN C. BETHEL DDS (DENTIST)
(501) 375-3145
Entity
Organization
Contact information
Practice address
425 HWY 5 NORTH, BENTON, AR 72019
(501) 375-3145
Mailing address
425 HWY 5 NORTH, BENTON, AR 72019
(501) 375-3145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168714631
—
AR
Enumeration date
07/17/2008
Last updated
08/21/2008
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