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Dequeen Dental

NPI #1548681885 in De Queen, Arkansas

Provider Information

NPI Number
1548681885
Entity Type
Organization
Organization Name
Dequeen Dental
Primary Specialty
Dentist
Enumeration Date
Jan 3, 2014
Last Updated
Jan 3, 2014

Practice Location

Address
1347 W COLLIN RAYE DR
City
De Queen
State
Arkansas
ZIP Code
71832-2946
Phone
(870) 642-5034

Authorized Official

Name
DR. CHRISTIE JAQUESS, D.D.S.
Title
PHYSICIAN
Phone
(870) 642-5034

Specialties & Taxonomy Codes

Specialty
Dentist

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