Organization
AXPM-WLR, LLC
Active
Organization
AXPM-WLR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN C. HILLER DMD (ORTHODONTIST)
(501) 781-2777
Entity
Organization
Contact information
Practice address
16003 CHANEL PARKWAY, LITTLE ROCK, AR 72223
(501) 712-5080
(501) 404-4868
Mailing address
5100 TALLEY ROAD, SUITE 100, LITTLE ROCK, AR 72204
(501) 781-2777
(501) 781-2778
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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