| Vilonia Family Dental Pllc | |
|
1163 Main St Ste 106 Vilonia AR 72173-8083 | |
| (501) 222-9144 | |
| Not Available |
| Full Name | Vilonia Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1163 Main St Ste 106, Vilonia, Arkansas |
| Authorized Official Name and Position | Vicenta Reyes (LEAD OF CREDNTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vilonia Family Dental Pllc 1163 Main St Ste 106 Vilonia AR 72173-8083 Ph: (501) 222-9144 | Vilonia Family Dental Pllc 1163 Main St Ste 106 Vilonia AR 72173-8083 Ph: (501) 222-9144 |
| NPI Number | 1568118677 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568118677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Brian Lane D D S Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 17 Eagle Park Dr, Vilonia, AR 72173 Phone: 501-425-1583 |