Organization
WHITE RIVER DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W CHUNN D.D.S. (OWNER/DENTIST)
(870) 698-0900
Entity
Organization
Contact information
Practice address
259 EAGLE MOUNTAIN BLVD, BATESVILLE, AR 72501-4232
(870) 698-0900
(870) 698-0332
Mailing address
259 EAGLE MOUNTAIN BLVD, BATESVILLE, AR 72501-4232
(870) 698-0900
(870) 698-0332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3078
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179175631
—
AR
Enumeration date
11/19/2009
Last updated
11/19/2009
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