Organization
NORTH SHORE FAMILY DENTAL CARE LLC
Active
Other names
North Shore Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT DECOURSEY D.D.S. (OWNER/ DENTIST)
(501) 753-8700
Entity
Organization
Contact information
Practice address
7525 YOUNG RD STE A, NORTH LITTLE ROCK, AR 72118-2421
(501) 753-8700
Mailing address
7525 YOUNG RD STE A, NORTH LITTLE ROCK, AR 72118-2421
(501) 753-8700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4023
AR
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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