| Larry Vandyck Dds Holly Street Dentistry,pa | |
|
460 S Holly St Siloam Springs AR 72761-3018 | |
| (479) 524-0333 | |
| (479) 524-0378 |
| Full Name | Larry Vandyck Dds Holly Street Dentistry,pa |
|---|---|
| Speciality | Dentist |
| Location | 460 S Holly St, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Larry Edward Vandyck (OWNER/DENTIST) |
| Authorized Official Contact | 4795240333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Vandyck Dds Holly Street Dentistry,pa 460 S Holly St Po Box 460 Siloam Springs AR 72761-3018 Ph: (479) 524-0333 | Larry Vandyck Dds Holly Street Dentistry,pa 460 S Holly St Siloam Springs AR 72761-3018 Ph: (479) 524-0333 |
| NPI Number | 1083043905 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 11/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083043905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3939 (Arkansas) | Primary |
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