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1124563895
AXPM-MOUNTAIN HOME DENTAL
MOUNTAIN HOME, AR
NPI
1124563895
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Entity Type
Organization
Authorized Contact
MARK DAKE
Owner
501-781-2777
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2017-01-04
Last Update Date
2017-01-04
Business Address
AXPM-MOUNTAIN HOME DENTAL
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653-2913
Phone number: 870-425-9757
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Mailing Address
AXPM-MOUNTAIN HOME DENTAL
PO BOX 3450
LITTLE ROCK, AR 72203-3450
Phone number: 501-781-2777
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