Blytheville Pediatric Dentistry, Pllc
NPI #1891123279 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1891123279
- Entity Type
- Organization
- Organization Name
- Blytheville Pediatric Dentistry, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 23, 2013
- Last Updated
- Oct 23, 2013
Practice Location
- Address
- 646 E MAIN ST STE B
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-2125
- Phone
- (870) 824-6677
Authorized Official
- Name
- MRS. JAMMIE A BURROWS
- Title
- OFFICE MANAGER
- Phone
- (870) 739-2992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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