Organization
TRIDENT HOLDING LLC
Active
Other names
HotSprings Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN G BURRIS DDS,MS (ORTHODONTIST)
(501) 321-2211
Entity
Organization
Contact information
Practice address
1702 MALVERN AVE, HOT SPRINGS, AR 71901-7132
(501) 321-2211
(501) 321-0551
Mailing address
1702 MALVERN AVE, HOT SPRINGS, AR 71901-7132
(501) 321-2211
(501) 321-0551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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