Organization
KIDZ CHOICE DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN KYLE DALTON DDS (PRESIDENT)
(501) 327-2030
Entity
Organization
Contact information
Practice address
2415 PRINCE ST STE 105, CONWAY, AR 72034-3746
(501) 327-2030
(501) 327-0242
Mailing address
2415 PRINCE ST STE 105, CONWAY, AR 72034-3746
(501) 327-2030
(501) 327-0242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2841
AR
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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