Arkansas Dental Professionals, Mongrain, P.a

NPI #1740435312 in Arkadelphia, Arkansas

Provider Information

NPI Number: 1740435312
Entity Type: Organization
Organization Name: Arkansas Dental Professionals, Mongrain, P.a
Primary Specialty: Dentist
Enumeration Date: Nov 24, 2008
Last Updated: May 10, 2019

Practice Location

Address: 3003 TWIN RIVERS DR
City: Arkadelphia
State: Arkansas
ZIP Code: 71923-4219
Phone: (870) 246-2242

Authorized Official

Name: HANNAH FISH
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-5699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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