LE WESTERN DENTISTRY, PLLC
Managed Care Organizations at 14 St, Fort Smith, AR

License number
Arkansas 3933
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: ISAAC ANH LE DDS
Title: OWNER
Phone: (479) 782-3005
Address
Address
520 S 14Th St, Fort Smith, AR 72901
National Provider ID: 1154867893
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LE WESTERN DENTISTRY, PLLC at bizstanding.com

LE WESTERN DENTISTRY, PLLC

Fort Smith, AR  -  West Memphis, AR

Registration:
Sep 26, 2014
Addresses:
520 S 14 St, Fort Smith, AR 72901 (Physical)
1800 Missouri St SUITE 7, West Memphis, AR 72301 (Physical)
State ID:
811061661
Business type:
Limited Liability Company
Incorporator/Organizer:
Isaac Anh-Tuan Le (Incorporator/Organizer)
Agent:
United States Corporation Agents, Inc,1800 Missouri St SUITE 7, West Memphis, AR 72301 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

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