Organization
ALL STAR SMILES
Active
Other names
All Star Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI JEAN WADE (OFFICE ADMINISTRATOR)
(501) 747-1004
Entity
Organization
Contact information
Practice address
11312 BASS PRO PKWY STE C, LITTLE ROCK, AR 72210-3086
(501) 747-1004
(501) 421-9070
Mailing address
11312 BASS PRO PKWY STE C, LITTLE ROCK, AR 72210-3086
(501) 747-1004
(501) 421-9070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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