Organization
AR PERIODONTAL & IMPLANT ASSOC
Active
Parent organization
AR PERIODONTAL & IMPLANT ASSOC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AR PERIODONTAL & IMPLANT ASSOC
Authorized official
MRS. CINDY KAY RABEN (OFFICE MANAGER)
(479) 521-6400
Entity
Organization
Contact information
Practice address
2001 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(479) 521-6400
(479) 521-0164
Mailing address
3800 ROGERS AVE, SUITE 3, FORT SMITH, AR 72903-3046
(479) 785-4848
(479) 785-0231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3262
AR
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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