LISA L. LOFTIS, D.D.S., P.A.
Managed Care Organizations at Ash St, Malvern, AR

License number
Arkansas 2905
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. LISA LYNN LOFTIS D.D.S.
Title: OWNER
Phone: (501) 332-4979
Address
Address
306 S Ash St, Malvern, AR 72104
National Provider ID: 1558452409
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LISA L. LOFTIS, D.D.S., PA

306 S Ash St, Malvern, AR 72104

Industry:
Dentists, Oral Surgeons
Doing business as:
Lisa Loftis DDS
Registration:
Jun 7, 1995
Phone:
(501) 332-4979 (Phone)
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
100122631
Business type:
For Profit Corporation
Treasurers:
Kim Campbell (Tax Preparer),Lisa L. Loftis (President),Lisa L. Lofits (Treasurer)
Agent:
Lisa L. Wade, D.d.s. (I),306 S Ash St, Malvern, AR 72104 (Physical)
Filled under act:
Dom Dental Corp; 471 of 1961

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