Individual
DR. ALAA MOHAMMED SHAHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1125 S AMITY RD, CONWAY, AR 72032-8090
(501) 764-4465
Mailing address
9000 PINNACLE VALLEY RD, LITTLE ROCK, AR 72223
(501) 952-0765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4793
AR
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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