Whalio Doctors

NPI 1659727469

Green Dental Lab, INC.

Organisation Dental Laboratory Heber Springs, AR

Practice location

Address
1099 Wilburn Rd, Heber Springs, AR 72543-8905
Phone
(501) 362-3132
Fax
(501) 362-4717

Authorised official

Name
Kimberly Thomas
Title
Lab President
Phone
(501) 362-3132

Registered specialties

Dental Laboratory Primary
Laboratories Taxonomy 292200000X Licence 123277-00 (AR)

Registry record

NPI
1659727469
Entity type
Organization
NPI issued
11 May 2016
Record last updated
11 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.