Arkansas Dental Professionals Mongrain PA
NPI #1225179088 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1225179088
- Entity Type
- Organization
- Organization Name
- Arkansas Dental Professionals Mongrain PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Jul 20, 2020
Practice Location
- Address
- 2909 S 74TH ST
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-5156
- Phone
- (479) 452-7454
Authorized Official
- Name
- MRS. MARIE KUHL
- Title
- DIRECTOR OF DENTAL INSURANCE
- Phone
- (217) 540-5146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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