Wardlaw Orthodontics, P.A.
Dentist, Orthodontics and Dentofacial Orthopedics in Little Rock, AR. Organization (NPI-2).
NPI number1447875729
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1447875729
- Entity type
- Organization (NPI-2)
- Legal business name
- Wardlaw Orthodontics, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 11, 2020
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
8315 Cantrell Rd Ste 100Little Rock, AR 72227-2354
Phone 501-227-5757 · Fax 501-227-0139
Mailing address
8315 Cantrell Rd Ste 100Little Rock, AR 72227-2354
Phone 501-227-5757 · Fax 501-227-0139
Authorized official
Kimberly D Covert
Office Coordinator
5012275757
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