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Organization
KEVIN R. MANN DDS, PA
Active
Organization
KEVIN R. MANN DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RYAN MANN (PRESIDENT)
(870) 239-5518
Entity
Organization
Contact information
Practice address
1224 W COURT ST, PARAGOULD, AR 72450-4132
(870) 239-5518
Mailing address
1224 W COURT ST, PARAGOULD, AR 72450-4132
(870) 239-5518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3666
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168213608
—
AR
Enumeration date
12/23/2008
Last updated
12/23/2008
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