Individual
DR. KYLE JORDAN HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
520 W PERSHING BLVD STE C, NORTH LITTLE ROCK, AR 72114-2100
(501) 753-2800
Mailing address
3609 DORAL DR, LITTLE ROCK, AR 72212-2919
(870) 390-0722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4608
AR
Other
Enumeration date
06/08/2022
Last updated
10/05/2022
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