Mammoth Spring Dental Clinic, LLC
NPI #1023349651 in Mammoth Spring, Arkansas
Provider Information
- NPI Number
- 1023349651
- Entity Type
- Organization
- Organization Name
- Mammoth Spring Dental Clinic, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 21, 2010
- Last Updated
- Jan 21, 2010
Practice Location
- Address
- 180 MAIN STREET
- City
- Mammoth Spring
- State
- Arkansas
- ZIP Code
- 72554
- Phone
- (870) 625-3262
Authorized Official
- Name
- DR. MICHAEL D. KERSEY, DDS
- Title
- MEMBER
- Phone
- (870) 625-3262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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