Organization
TERESA SCHULTZ DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA N SCHULTZ DMD (OWNER)
(479) 879-6385
Entity
Organization
Contact information
Practice address
10662 UNION STAR CHURCH RD, WEST FORK, AR 72774-9581
(479) 879-6385
(479) 839-4398
Mailing address
10662 UNION STAR CHURCH RD, WEST FORK, AR 72774-9581
(479) 879-6385
(479) 839-4398
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3606
AR
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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