Modelevsky DDS PA

NPI #1922267657 in Jonesboro, Arkansas

Provider Information

NPI Number
1922267657
Entity Type
Organization
Organization Name
Modelevsky DDS PA
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Jun 6, 2008
Last Updated
Jun 19, 2012

Practice Location

Address
906 OSLER DR
ZIP Code
72401-4366
Phone
(870) 972-8570

Authorized Official

Name
TERI MODELEVSKY, JD
Title
OFFICE MANAGER
Phone
(870) 972-8570

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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