Childrens Dental Clinic of Jonesboro

NPI #1013479104 in Jonesboro, Arkansas

Provider Information

NPI Number: 1013479104
Entity Type: Organization
Organization Name: Childrens Dental Clinic of Jonesboro
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 5, 2019
Last Updated: Apr 5, 2019

Practice Location

Address: 217 E CHERRY AVE
City: Jonesboro
State: Arkansas
ZIP Code: 72401-3372
Phone: (870) 897-2489

Authorized Official

Name: LAUREN LEE
Title: OFFICE MANAGER
Phone: (870) 897-9465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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