Larry Vandyck DDS Holly Street Dentistry,pa
NPI #1083043905 in Siloam Springs, Arkansas
Provider Information
- NPI Number
- 1083043905
- Entity Type
- Organization
- Organization Name
- Larry Vandyck DDS Holly Street Dentistry,pa
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 1, 2013
- Last Updated
- Nov 1, 2013
Practice Location
- Address
- 460 S HOLLY ST
- City
- Siloam Springs
- State
- Arkansas
- ZIP Code
- 72761-3018
- Phone
- (479) 524-0333
Authorized Official
- Name
- DR. LARRY EDWARD VANDYCK
- Title
- OWNER/DENTIST
- Phone
- (479) 524-0333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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