Organization · Type 2 NPI
Gravette Family Dental
Dental Clinic/Center · Gravette, AR
NPI number
1417790502
Active
Practice location
601 1st Ave SW
Gravette, AR 72736
Mailing address
851 W I 35 Frontage Rd Ste 350
Edmond, OK 73034-7461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Gravette
About NPI 1417790502
Gravette Family Dental's National Provider Identifier is 1417790502, issued on Jun 17, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gravette, AR. The record was last updated on Jun 17, 2024.