Kitchens' Pediatric Dentistry P.a.

NPI 1043305170 - Dentist - 1223P0221X

NPI Details
NPI 1043305170
Enumeration Date 10/04/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CLOVIS ANDY CLOVIS
Position PRESIDENT
Phone (501) 223-0822
Fax (501) 221-9420
Practice Location
10310 W MARKHAM ST
SUITE 202
LITTLE ROCK AR, 72205-2175, US
Phone (501) 223-0822
Fax (501) 221-9420
Business Location
10310 W MARKHAM ST
SUITE 202
LITTLE ROCK AR, 72205-2175, US
Phone (501) 223-0822
Fax (501) 221-9420
Toxanomy
Taxonomy Code 1223P0221X
License State Arkansas
License Number 3512
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According to our database, Kitchens' Pediatric Dentistry P.a. NPI is 1043305170, taxonomy code is 1223P0221X and license number is 3512, license state is located at Arkansas. Kitchens' Pediatric Dentistry P.a. physically located at 10310 W Markham St, Little Rock AR, 72205-2175. NPI Number 1033115704 has the healthcare provider type.

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1043305170 NPI number is provided on an as is basis without warranty of any kind. 1043305170 is maintained by the National Plan & Provider Enumeration System. The contents of Kitchens' Pediatric Dentistry P.a. are for informational purposes only.