Ft Mcdonald Dds Ltd

NPI 1194866418 - Dentist - 1223X0400X

NPI Details
NPI 1194866418
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRED FRED
Position PRESIDENT
Phone (870) 536-6430
Fax
Practice Location
3900 S OLIVE ST
PINE BLUFF AR, 71603-6745, US
Phone (870) 536-6430
Fax
Business Location
3900 S OLIVE ST
PINE BLUFF AR, 71603-6745, US
Phone (879) 036-6430
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Arkansas
License Number 1983
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According to our database, Ft Mcdonald Dds Ltd NPI is 1194866418, taxonomy code is 1223X0400X and license number is 1983, license state is located at Arkansas. Ft Mcdonald Dds Ltd physically located at 3900 S Olive St, Pine Bluff AR, 71603-6745. NPI Number 1033115704 has the healthcare provider type.

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1194866418 NPI number is provided on an as is basis without warranty of any kind. 1194866418 is maintained by the National Plan & Provider Enumeration System. The contents of Ft Mcdonald Dds Ltd are for informational purposes only.