| Soh Of Arkansas William Wellford Porter Pc | |
|
2868 W Martin Luther King Blvd Fayetteville AR 72704-7625 | |
| (479) 249-8181 | |
| Not Available |
| Full Name | Soh Of Arkansas William Wellford Porter Pc |
|---|---|
| Speciality | Dentist |
| Location | 2868 W Martin Luther King Blvd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Raymond Weber (REGIONAL SUPPORT SPECIALIST) |
| Authorized Official Contact | 3147538154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soh Of Arkansas William Wellford Porter Pc 1422 Elbridge Payne Rd Ste 240 Chesterfield MO 63017-8544 Ph: (314) 753-8154 | Soh Of Arkansas William Wellford Porter Pc 2868 W Martin Luther King Blvd Fayetteville AR 72704-7625 Ph: (479) 249-8181 |
| NPI Number | 1811493828 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811493828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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