Weekend Dental Clinic

NPI 1083869911 - Dentist - 1223G0001X

NPI Details
NPI 1083869911
Enumeration Date 11/19/2008
Last Updated 11/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHARLES GREGORY CHARLES
Position OWNER
Phone (479) 719-0753
Fax
Practice Location
5111 ROGERS AVE
SUITE 207
FORT SMITH AR, 72903-2047, US
Phone (479) 719-0753
Fax
Business Location
3200 ROGERS AVE
SUITE 111
FORT SMITH AR, 72903-2954, US
Phone (479) 782-0080
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arkansas
License Number 3478
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According to our database, Weekend Dental Clinic NPI is 1083869911, taxonomy code is 1223G0001X and license number is 3478, license state is located at Arkansas. Weekend Dental Clinic physically located at 5111 Rogers Ave, Fort Smith AR, 72903-2047. NPI Number 1033115704 has the healthcare provider type.

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1083869911 NPI number is provided on an as is basis without warranty of any kind. 1083869911 is maintained by the National Plan & Provider Enumeration System. The contents of Weekend Dental Clinic are for informational purposes only.