Siegfried,llc

NPI #1639563406 in Cabot, Arkansas

Provider Information

NPI Number: 1639563406
Entity Type: Organization
Organization Name: Siegfried,llc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 19, 2015
Last Updated: Mar 19, 2015

Practice Location

Address: 12 MARLOU DR
City: Cabot
State: Arkansas
ZIP Code: 72023-3693
Phone: (501) 628-5555

Authorized Official

Name: DR. LESLIE ERIN SIEGFRIED, DDS
Title: SOLE MBR
Phone: (501) 628-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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