Organization
JOHNNY L BAKKER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY L BAKKER DDS, PA (OWNER/DOCTOR)
(479) 751-8820
Entity
Organization
Contact information
Practice address
418 W MAPLE AVE, SPRINGDALE, AR 72764-5334
(479) 751-8820
(479) 751-3117
Mailing address
418 W MAPLE AVE, SPRINGDALE, AR 72764-5334
(479) 751-8820
(479) 751-3117
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2398
AR
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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