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CENTRAL ARKANSAS ORAL & MAXILLOFACIAL SURGERY PA

Surgery Yellow Pages

Searcy, Arkansas

Provider NPI: 1407965106

Organization Information:
Organization Name:  CENTRAL ARKANSAS ORAL & MAXILLOFACIAL SURGERY PA


Practice Location:
408 W VINE AVE  SEARCY, AR 72143 US
Tel: 501-268-7000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
ARLICENSE 3108 SPEC 54

Other Provider Identifiers:

IssuerNumberStateType
128014679AR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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