Organization
ARKLATEX FAMILY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JOLLY DDS (ADMINISTRATOR)
(870) 779-0411
Entity
Organization
Contact information
Practice address
421 PECAN ST, TEXARKANA, AR 71854-5333
(870) 779-0411
Mailing address
421 PECAN ST, TEXARKANA, AR 71854-5333
(870) 779-0411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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