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Organization

CANTRELL DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMIR SULIEMAN DDS (DENTIST)
(501) 690-3468
Entity
Organization

Contact information

Practice address
14923 CANTRELL RD, LITTLE ROCK, AR 72223-4255
(501) 690-3468
Mailing address
14923 CANTRELL RD, LITTLE ROCK, AR 72223-4255

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201828608
AR
05
212843608
AR
Enumeration date
11/14/2018
Last updated
11/14/2018
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