Individual
ABU FAISAL MOHAMMAD HASME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
465 MEDICAL CENTER PKWY, CLINTON, AR 72031-7946
(501) 745-8811
(501) 745-5042
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5101
(870) 448-3767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4190
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221694608
—
AR
Enumeration date
11/07/2016
Last updated
07/21/2022
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