Organization
NORTHWEST ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN PHILLIPS (PRACTICE MANAGER)
(479) 521-4181
Entity
Organization
Contact information
Practice address
3119 E MISSION BLVD, FAYETTEVILLE, AR 72703-6617
(479) 521-4181
(479) 521-0442
Mailing address
3119 E MISSION BLVD, FAYETTEVILLE, AR 72703-6617
(479) 521-4181
(479) 521-0442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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