Gentry Family Dentistry Pllc

NPI 1033356472 - Dentist - 122300000X

NPI Details
NPI 1033356472
Enumeration Date 01/07/2009
Last Updated 01/07/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ALAN LEE ALAN
Position OWNER
Phone (479) 736-2800
Fax
Practice Location
304 E MAIN
GENTRY AR, 72734, US
Phone (479) 736-2800
Fax
Business Location
PO BOX 732
GENTRY AR, 72734-0732, US
Phone (479) 736-2800
Fax (479) 736-3212
Toxanomy
Taxonomy Code 122300000X
License State Arkansas
License Number 2542
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According to our database, Gentry Family Dentistry Pllc NPI is 1033356472, taxonomy code is 122300000X and license number is 2542, license state is located at Arkansas. Gentry Family Dentistry Pllc physically located at 304 E Main, Gentry AR, 72734. NPI Number 1033115704 has the healthcare provider type.

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1033356472 NPI number is provided on an as is basis without warranty of any kind. 1033356472 is maintained by the National Plan & Provider Enumeration System. The contents of Gentry Family Dentistry Pllc are for informational purposes only.