Organization
RIVER DENTAL ROGERS, PLLC
Active
Other names
River Dental Rogers
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
2001 W WALNUT ST, ROGERS, AR 72756-3243
(479) 636-6807
(479) 636-7337
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
02/01/2024
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