Teresa Schultz Dmd Pllc

NPI #1952667180 in West Fork, Arkansas

Provider Information

NPI Number: 1952667180
Entity Type: Organization
Organization Name: Teresa Schultz Dmd Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 2, 2012
Last Updated: Apr 2, 2012

Practice Location

Address: 10662 UNION STAR CHURCH RD
City: West Fork
State: Arkansas
ZIP Code: 72774-9581
Phone: (479) 879-6385

Authorized Official

Name: DR. TERESA N SCHULTZ, DMD
Title: OWNER
Phone: (479) 879-6385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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