Individual
BRYAN KEITH ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
300 S RODNEY PARHAM RD, SUITE 3, LITTLE ROCK, AR 72205-4747
(501) 224-4799
(501) 224-9278
Mailing address
300 S RODNEY PARHAM RD, SUITE 3, LITTLE ROCK, AR 72205-4747
(501) 224-4799
(501) 224-9278
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3321
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145950608
—
AR
Enumeration date
08/09/2006
Last updated
07/08/2007
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