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Organization

ARKANSAS ORAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNY L QUICK D.D.S. (OWNER)
(501) 329-3223
Entity
Organization

Contact information

Practice address
2425 PRINCE ST STE 2, CONWAY, AR 72034-3701
(501) 329-3223
(501) 329-8939
Mailing address
2425 PRINCE ST STE 2, CONWAY, AR 72034-3701
(501) 329-3223
(501) 329-8939

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3342
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165772679
AR
Enumeration date
05/16/2017
Last updated
05/16/2017
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