Axpm-Mountain Home Dental
NPI #1124563895 in Mountain Home, Arkansas
Provider Information
- NPI Number
- 1124563895
- Entity Type
- Organization
- Organization Name
- Axpm-Mountain Home Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 4, 2017
- Last Updated
- Jan 4, 2017
Practice Location
- Address
- 500 HOSPITAL DR
- City
- Mountain Home
- State
- Arkansas
- ZIP Code
- 72653-2913
- Phone
- (870) 425-9757
Authorized Official
- Name
- MARK DAKE
- Title
- OWNER
- Phone
- (501) 781-2777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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