Organization
M. TRENT GUBLER, DDS, PC
Active
Other names
Lifetime Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TRENT GUBLER DDS (OWNER)
(479) 631-9393
Entity
Organization
Contact information
Practice address
805 N 20TH PL STE 2, ROGERS, AR 72756-3571
(479) 631-9393
(479) 986-0905
Mailing address
805 N 20TH PL STE 2, ROGERS, AR 72756-3571
(479) 631-9393
(479) 986-0905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3920
AR
Other
Enumeration date
02/28/2014
Last updated
04/24/2017
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