Individual
DR. BOYD OTHO WHITLOCK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PA
Contact information
Practice address
2890 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-7735
(479) 751-1103
(479) 751-3213
Mailing address
2890 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-7735
(479) 751-1103
(479) 751-3213
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3000
AR
Other
Enumeration date
04/12/2007
Last updated
09/05/2014
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