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Organization

ARKANSAS PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARA J JONES DDS (PRESIDENT)
(501) 350-6416
Entity
Organization

Contact information

Practice address
5905 W 12TH ST, LITTLE ROCK, AR 72204-1608
(501) 350-6416
Mailing address
5905 W 12TH ST, LITTLE ROCK, AR 72204-1608
(501) 350-6416

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3733
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179325608
AR
Enumeration date
07/29/2013
Last updated
08/19/2013
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