Organization
RANDALL S HESTIR DDS INC
Active
Other names
Family Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL S HESTIR DDS (OWNER)
(870) 946-2013
Entity
Organization
Contact information
Practice address
1703 S WHITEHEAD DR, DEWITT, AR 72042
(870) 946-2013
(870) 946-1281
Mailing address
PO DRAWER 512, 1703 S WHITEHEAD DR, DEWITT, AR 72042
(870) 946-2013
(870) 946-1281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2266
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100922608
—
AR
Enumeration date
05/08/2007
Last updated
06/29/2009
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