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Organization

ROBERT M. SPURLIN D.D.S

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUISE SOURLIN (MANAGER)
(870) 423-2102
Entity
Organization

Contact information

Practice address
208 N MAIN ST, BERRYVILLE, AR 72616-3925
(870) 423-2102
(870) 423-2102
Mailing address
208 N MAIN ST, BERRYVILLE, AR 72616-3925
(870) 423-2102
(870) 423-2102

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1826
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1826
DENTAL CLINIC
AR
Enumeration date
12/09/2008
Last updated
12/09/2008
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