Organization
KITCHENS PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLOVIS ANDREW KITCHENS DDS (DENTIST/OWNER)
(501) 868-3331
Entity
Organization
Contact information
Practice address
14114 TAYLOR LOOP RD, LITTLE ROCK, AR 72223
(501) 868-3331
(501) 868-5323
Mailing address
14114 TAYLOR LOOP RD., LITTLE ROCK, AR 72223
(501) 868-3331
(501) 868-5323
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2186
AR
1223P0221X
Pediatric Dentistry
3512
AR
Other
Enumeration date
12/06/2007
Last updated
12/28/2011
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