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Individual

DR. LARRY EDWARD VAN DYCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
460 S HOLLY ST, SILOAM SPRINGS, AR 72761-3018
(479) 524-0333
(479) 524-0378
Mailing address
460 S HOLLY ST, PO BOX 40, SILOAM SPRINGS, AR 72761-3018
(479) 524-0333
(479) 524-0378

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3939
AR
122300000X
Dentist
5246
OK

Other

Enumeration date
09/29/2006
Last updated
10/30/2013
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