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1053418038
NORTHWEST ARKANSAS PERIODONTAL ASSOCIATES, PLLC
FAYETTEVILLE, AR
NPI
1053418038
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Entity Type
Organization
Authorized Contact
GARY RENEGAR
Member
479-521-6400
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
Enumeration Date
2006-09-20
Last Update Date
2020-08-22
Business Address
NORTHWEST ARKANSAS PERIODONTAL ASSOCIATES, PLLC
1831 N GREEN ACRES RD
FAYETTEVILLE, AR 72703-2615
Phone number: 479-521-6400
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Mailing Address
NORTHWEST ARKANSAS PERIODONTAL ASSOCIATES, PLLC
1831 N GREEN ACRES RD
FAYETTEVILLE, AR 72703-2615
Phone number: 479-521-6400
Copy
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