Individual
MR. TRACY T WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5500 WEST MARKHAM ST, LITTLE ROCK, AR 72205
(501) 664-6888
(501) 664-2691
Mailing address
5500 WEST MARKHAM ST, LITTLE ROCK, AR 72205
(501) 664-6888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AR 2907
AR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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