Organization · Type 2 NPI
Dallas Avenue Dental Care, Inc.
Customized Equipment (DME) · Mena, AR
NPI number
1255769535
Active
Practice location
400 Pine Ave
Mena, AR 71953-4604
Fax (479) 394-7803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 2933 (AR) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1255769535
Dallas Avenue Dental Care, Inc.'s National Provider Identifier is 1255769535, issued on Oct 23, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Mena, AR. The record was last updated on Oct 23, 2013.