Individual
JANETTE NAGRAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2913 S 74TH ST, FORT SMITH, AR 72903-5156
(479) 484-5050
Mailing address
2913 S 74TH ST, FORT SMITH, AR 72903-5156
(479) 484-5050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4351
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235343608
—
AR
Enumeration date
06/14/2019
Last updated
08/19/2020
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