Bruce A. Gaston, D.D.S.
Dentist, Endodontics in Hot Springs, AR. Organization (NPI-2).
NPI number1780894584
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1780894584
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruce A. Gaston, D.D.S.
- Organization subpart
- No
- Enumeration date
- May 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 2939 | AR | Yes |
Practice location
1911 Malvern AveSte A
Hot Springs, AR 71901
Phone 501-609-9196 · Fax 501-609-9148
Mailing address
1911 Malvern AveSte A
Hot Springs, AR 71901
Phone 501-609-9196 · Fax 501-609-9148
Authorized official
Bruce A. Gaston
President
5016099196
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