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1811493828
SOH OF ARKANSAS WILLIAM WELLFORD PORTER PC
FAYETTEVILLE, AR
NPI
1811493828
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Entity Type
Organization
Authorized Contact
RAYMOND WEBER
Regional Support Specialist
314-753-8154
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
SOH OF ARKANSAS WILLIAM WELLFORD PORTER PC
2868 W MARTIN LUTHER KING BLVD
FAYETTEVILLE, AR 72704-7625
Phone number: 479-249-8181
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Mailing Address
SOH OF ARKANSAS WILLIAM WELLFORD PORTER PC
1422 ELBRIDGE PAYNE RD STE 240
CHESTERFIELD, MO 63017-8544
Phone number: 314-753-8154
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