Axpm- Jacksonville Dental Pllc
NPI #1932643236 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1932643236
- Entity Type
- Organization
- Organization Name
- Axpm- Jacksonville Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 6, 2016
- Last Updated
- Dec 7, 2016
Practice Location
- Address
- 1405 BRADEN ST
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-3720
- Phone
- (501) 241-2345
Authorized Official
- Name
- BRYAN HILLER
- Title
- MANAGER
- Phone
- (501) 781-2777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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