| Axpm-bryant Pedo Llc | |
|
7409 Alcoa Rd #5 Bryant AR 72022-6214 | |
| (501) 315-7800 | |
| Not Available |
| Full Name | Axpm-bryant Pedo Llc |
|---|---|
| Speciality | Dentist |
| Location | 7409 Alcoa Rd, Bryant, Arkansas |
| Authorized Official Name and Position | Bryan Hiller (ORTHODONTIST) |
| Authorized Official Contact | 5017812777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axpm-bryant Pedo Llc Po Box 24470 Little Rock AR 72221-4470 Ph: (501) 781-2777 | Axpm-bryant Pedo Llc 7409 Alcoa Rd #5 Bryant AR 72022-6214 Ph: (501) 315-7800 |
| NPI Number | 1649654856 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649654856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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