specializing in dentist in Blytheville, Arkansas
NPI: 1730216474
Provider Type
2
Practice Locations
Mailing Location
522 LUMERATE ST
BLYTHEVILLE, AR 72315
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:2/28/2007
Last Updated:8/22/2020
Credentials
Primary Credential: