| Divine Smiles Dental Studios, Inc. | |
|
620 N 13th St Rogers AR 72756-3434 | |
| (479) 986-0200 | |
| Not Available |
| Full Name | Divine Smiles Dental Studios, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 620 N 13th St, Rogers, Arkansas |
| Authorized Official Name and Position | Ken Berley (PRESIDENT/OWNER) |
| Authorized Official Contact | 4792540200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Smiles Dental Studios, Inc. 620 N 13th St Rogers AR 72756-3434 Ph: (479) 986-0200 | Divine Smiles Dental Studios, Inc. 620 N 13th St Rogers AR 72756-3434 Ph: (479) 986-0200 |
| NPI Number | 1871772764 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871772764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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