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Organization

ST FRANCIS HOUSE NWA, INC

Active
Other names
Jones School Based Health Center Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHY GRISHAM (EXECUTIVE DIRECTOR)
(479) 751-4717
Entity
Organization

Contact information

Practice address
900 SOUTH POWELL STREET, SPRINGDALE, AR 72762
(479) 750-8865
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
10/28/2011
Last updated
10/28/2011
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