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Organization

SANDY GREENWAY

Active
Other names
Dalby Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA EAKINS (OFFICE MANAGER)
(479) 717-7382
Entity
Organization

Contact information

Practice address
125 PRESIDENTIAL DR STE A, LOWELL, AR 72745-9608
(479) 717-7382
(479) 439-7713
Mailing address
125 PRESIDENTIAL DR STE A, LOWELL, AR 72745-9608
(479) 717-7382
(479) 439-7713

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588193353
NPI
AR
Enumeration date
08/23/2022
Last updated
08/23/2022
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