Individual
DR. KENTON A ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
106 N LOCUST AVE, FAYETTEVILLE, AR 72701-5114
(479) 973-9800
(479) 973-9246
Mailing address
106 N LOCUST AVE, FAYETTEVILLE, AR 72701-5114
(479) 973-9800
(479) 973-9246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3174
AR
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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