Organization
DIVINE SMILES DENTAL STUDIOS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN BERLEY DDS (PRESIDENT/OWNER)
(479) 254-0200
Entity
Organization
Contact information
Practice address
620 N 13TH ST, ROGERS, AR 72756-3434
(479) 986-0200
Mailing address
620 N 13TH ST, ROGERS, AR 72756-3434
(479) 986-0200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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