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DR. NOBLE SKIDMORE DALLISON D.D.S
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1588683700
Individual Registrant:DR. NOBLE SKIDMORE DALLISON D.D.S
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1 PROFESSIONAL DR BELLA VISTA, AR 72714-2462 US
Tel: 479-855-9554 Fax: --
Tel: 479-855-9554 Fax: --
Contact information for business:
1 PROFESSIONAL DR BELLA VISTA, AR 72714-2462 US
Tel: 479-855-9554 Fax: --
Tel: 479-855-9554 Fax: --
Registration Information:
NPI: 1588683700
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AR | 2249 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
