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Organization

ASHCRAFT ORTHODONTICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization

Contact information

Practice address
23 SHACKLEFORD DR STE A, LITTLE ROCK, AR 72211-2990
(501) 225-3964
Mailing address
23 SHACKLEFORD DR STE A, LITTLE ROCK, AR 72211-2990

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
03/25/2019
Last updated
03/25/2019
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