Ar Periodontal & Implant Assoc

NPI #1346643699 in Harrison, Arkansas

Provider Information

NPI Number: 1346643699
Entity Type: Organization
Organization Name: Ar Periodontal & Implant Assoc
Subpart: Yes (part of a larger organization)
Parent Organization: AR PERIODONTAL & IMPLANT ASSOC
Primary Specialty: Dentist
Enumeration Date: Oct 1, 2014
Last Updated: Oct 9, 2014

Practice Location

Address: 1405 MCCOY DR
City: Harrison
State: Arkansas
ZIP Code: 72601-2417
Phone: (479) 521-6400

Authorized Official

Name: MRS. CINDY KAY RABEN
Title: OFFICE MANAGER
Phone: (479) 521-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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