Chase C. Diemer Dds Pllc | |
2501 Crestwood Rd Ste 201 North Little Rock AR 72116-7616 | |
(501) 758-5006 | |
Not Available |
Full Name | Chase C. Diemer Dds Pllc |
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Speciality | Clinic/center - Dental |
Location | 2501 Crestwood Rd Ste 201, North Little Rock, Arkansas |
Authorized Official Name and Position | Chase Diemer (OWNER) |
Authorized Official Contact | 5017585006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chase C. Diemer Dds Pllc 2501 Crestwood Rd Ste 201 North Little Rock AR 72116-7616 Ph: () - | Chase C. Diemer Dds Pllc 2501 Crestwood Rd Ste 201 North Little Rock AR 72116-7616 Ph: (501) 758-5006 |
NPI Number | 1265081509 |
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Provider Enumeration Date | 09/09/2019 |
Last Update Date | 09/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265081509 | NPI | - | NPPES |
1710393517 | Other | AR | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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