Organization
TATUM ORTHODONTICS LLC
Active
Organization
TATUM ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNAKATE MILBURN TATUM DDS (SOLE MEMBER)
(870) 204-6555
Entity
Organization
Contact information
Practice address
825 N MAIN ST, HARRISON, AR 72601-2914
(870) 204-6555
Mailing address
823 N MAIN ST STE 6, HARRISON, AR 72601-2914
(870) 204-6555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
125
AR
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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