Crawford-Sebastian Community Development

NPI #1558588764 in Fort Smith, Arkansas

Provider Information

NPI Number
1558588764
Entity Type
Organization
Organization Name
Crawford-Sebastian Community Development
Subpart
Yes (part of a larger organization)
Parent Organization
CRAWFORD-SEBASTIAN COMMUNITY DEVELOPMENT COUNCIL, INC.
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Apr 19, 2007
Last Updated
Oct 16, 2009

Practice Location

Address
109 NO. 17TH
ZIP Code
72901
Phone
(479) 782-6021

Authorized Official

Name
MR. MARK WHITMER
Title
EXECUTIVE DIRECTOR
Phone
(479) 785-2303

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization
Dentist - Dental Public HealthDental Public Health

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