Organization
DENTAL CREATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA MCCASKEY (OWNER)
(870) 204-6974
Entity
Organization
Contact information
Practice address
112 N WILLOW ST, HARRISON, AR 72601-4232
(870) 204-6974
(870) 204-6975
Mailing address
112 N WILLOW ST, HARRISON, AR 72601-4232
(870) 204-6974
(870) 204-6975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3540
AR
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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