Individual
DR. DANIEL JOSEPH FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 409-5097
Mailing address
3257 N AUTUMN CT, FAYETTEVILLE, AR 72703-6273
(479) 409-5097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4182
AR
Other
Enumeration date
06/13/2017
Last updated
03/17/2018
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