Organization
WEST MEMPHIS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT HILDENBRAND (CEO)
(662) 321-5883
Entity
Organization
Contact information
Practice address
715 CALVIN AVERY DR, WEST MEMPHIS, AR 72301-6501
(870) 735-3601
Mailing address
PO BOX 416, SALTILLO, MS 38866-0416
(662) 871-9797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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