Organization
CAVE SPRINGS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY DOMINGUEZ DDS (OWNER)
(214) 949-2022
Entity
Organization
Contact information
Practice address
260 S GLENEAGLE DR STE C, CAVE SPRINGS, AR 72718-6011
(479) 282-1414
Mailing address
260 S GLENEAGLE DR STE C, CAVE SPRINGS, AR 72718-6011
(479) 282-1414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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