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Individual

TRACY SCHROEPFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2101 CONGO RD STE C, BENTON, AR 72015-2703
(501) 778-1400
Mailing address
PO BOX 1848, MENA, AR 71953-1841

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4375
AR
1223G0001X
General Practice Dentistry
Primary
4375
AR

Other

Enumeration date
07/09/2019
Last updated
09/14/2022
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