Individual
DR. CHARLES RICHARD SCALLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 E FRONT ST, LONOKE, AR 72086-3235
(501) 676-6121
Mailing address
116 E FRONT ST, P. O. BOX 222, LONOKE, AR 72086-3235
(501) 676-6121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1911
AR
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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