Organization
GPS MICHAEL MABRY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R LITTLE DDS (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
271 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6272
(817) 329-6677
Mailing address
100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900
(870) 333-5088
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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