Individual
TAYLOR BROOKE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.A
Contact information
Practice address
15526 MAC ARTHUR DR, NORTH LITTLE ROCK, AR 72118-1593
(501) 804-8286
Mailing address
15526 MAC ARTHUR DR, NORTH LITTLE ROCK, AR 72118-1593
(501) 804-8286
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
12885
AR
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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