B.w. Petkovich, D.d.s., PA
NPI #1417268426 in Mountain Home, Arkansas
Provider Information
- NPI Number
- 1417268426
- Entity Type
- Organization
- Organization Name
- B.w. Petkovich, D.d.s., PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 24, 2010
- Last Updated
- Jun 24, 2010
Practice Location
- Address
- 500 HOSPITAL DR
- City
- Mountain Home
- State
- Arkansas
- ZIP Code
- 72653-2913
- Phone
- (870) 425-9757
Authorized Official
- Name
- DR. BERNARD WILLIAM PETKOVICH, D.D.S.
- Title
- DENTIST
- Phone
- (870) 425-9757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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