Organization
WEST MEMPHIS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL BURROWS DDS (OWNER)
(870) 739-2992
Entity
Organization
Contact information
Practice address
303 BANCARIO STE 11-12, MARION, AR 72364-2825
(870) 739-2992
(870) 739-8597
Mailing address
316 W TYLER AVE, WEST MEMPHIS, AR 72301-4225
(870) 735-5439
(870) 739-8597
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3647
AR
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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