Organization
DC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TREVOR COFFEE DDS (DENTIST)
(870) 246-2828
Entity
Organization
Contact information
Practice address
280 PROFESSIONAL PARK DR STE B, ARKADELPHIA, AR 71923-4232
(870) 246-2828
Mailing address
280 PROFESSIONAL PARK DR STE B, ARKADELPHIA, AR 71923-4232
(870) 246-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3432
AR
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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