Individual
MR. LARRY DEVAN GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
206 SOUTH COLLEGE ST, MTN HOME, AR 72653-0206
(870) 425-5959
(870) 425-9422
Mailing address
206 SOUTH COLLEGE ST, MTN HOME, AR 72653-0206
(870) 425-5959
(870) 425-9422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2426
AR
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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