Organization
DALLAS STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C LIGON D.D.S. (DENTIST)
(479) 452-6600
Entity
Organization
Contact information
Practice address
8020 DALLAS ST, FORT SMITH, AR 72903-4277
(479) 452-6600
(479) 452-6692
Mailing address
8020 DALLAS ST, FORT SMITH, AR 72903-4277
(479) 452-6600
(479) 452-6692
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3119
AR
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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