Kidz Choice Conway LLC

NPI #1669800421 in Conway, Arkansas

Provider Information

NPI Number: 1669800421
Entity Type: Organization
Organization Name: Kidz Choice Conway LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2013
Last Updated: Oct 14, 2013

Practice Location

Address: 2415 PRINCE ST
Address 2: SUITE 105
City: Conway
State: Arkansas
ZIP Code: 72034-3746
Phone: (501) 327-6453

Authorized Official

Name: ERIN CUPAN
Title: PRACTICE ADMINISTRATOR
Phone: (501) 327-6453

Specialties & Taxonomy Codes

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

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