Ar Dental & Tmj - Jacksonville, LLC
NPI #1922373794 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1922373794
- Entity Type
- Organization
- Organization Name
- Ar Dental & Tmj - Jacksonville, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 13, 2012
- Last Updated
- Aug 2, 2012
Practice Location
- Address
- 1426 BRADEN ST
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-3721
- Phone
- (501) 982-3777
Authorized Official
- Name
- MISS ERIN CUPAN
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (501) 225-1577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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