Organization
MAIN STREET DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN D. HALL DDS (MEMBER/MANAGER)
(479) 254-6899
Entity
Organization
Contact information
Practice address
312 S MAIN ST, BENTONVILLE, AR 72712-5903
(479) 254-6899
(479) 254-6749
Mailing address
312 S MAIN ST, BENTONVILLE, AR 72712-5903
(479) 254-6899
(479) 254-6749
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3599
AR
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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