Organization · Type 2 NPI
West Memphis Pediatric Dentistry
Dental Clinic/Center · Marion, AR
NPI number
1154863637
Active
Practice location
303 Bancario Ste 11-12
Marion, AR 72364-2825
Fax (870) 739-8597
Mailing address
316 W Tyler Ave
West Memphis, AR 72301-4225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3647 (AR) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Marion
About NPI 1154863637
West Memphis Pediatric Dentistry's National Provider Identifier is 1154863637, issued on Nov 15, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Marion, AR. The record was last updated on Nov 15, 2016.