Organization
SENIOR DENTAL CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD MATONE D.D.S. (DOCTOR)
15018212214
Entity
Organization
Contact information
Practice address
25 RAHLING CIR STE C, LITTLE ROCK, AR 72223-9194
(501) 821-2214
(150) 182-1224
Mailing address
25 RAHLING CIR STE C, LITTLE ROCK, AR 72223-9194
(150) 182-1221
(150) 182-1224
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2534
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185153631
—
AR
Enumeration date
03/16/2011
Last updated
03/16/2011
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