Organization
CENTRAL DENTAL - CONWAY, LLC
Active
Other names
Central Dental - Conway, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD C STEWART D.D.S. (OWNER)
(501) 225-1577
Entity
Organization
Contact information
Practice address
2415 PRINCE STREET, CONWAY, AR 72034-3746
(501) 327-6453
Mailing address
2415 PRINCE ST, CONWAY, AR 72034-3746
(501) 327-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/14/2013
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