Individual
DR. KARLA T. BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
151 COUNTRY CLUB RD, POCAHONTAS, AR 72455-1364
(870) 892-1211
(870) 892-4804
Mailing address
151 COUNTRY CLUB RD, POCAHONTAS, AR 72455-1364
(870) 892-1211
(870) 892-4804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3140
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127294608
—
AR
01
—
5T016
BLUE CROSS BLUE SHIELD
AR
01
—
876596
UNITED CONCORDIA
AR
Enumeration date
08/12/2006
Last updated
07/08/2007
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