Organization
BILLY C CRISWELL INC
Active
Other names
Criswell Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRL C CRISWELL DDS (PRESIDENT)
(479) 474-2828
Entity
Organization
Contact information
Practice address
2411 FAYETTEVILLE RD, STE. C, VAN BUREN, AR 72956-6520
(479) 474-2828
(479) 262-6884
Mailing address
2411 FAYETTEVILLE RD, STE. C, VAN BUREN, AR 72956-6520
(479) 474-2828
(479) 262-6884
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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