Individual
MRS. CAROL R. DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B. S., R. D. H.
Contact information
Practice address
3518 LACROSSE, BRYANT, AR 72022-9314
(501) 658-3556
(501) 257-2206
Mailing address
3518 LACROSSE DR., BRYANT, AR 72022
(501) 658-3556
(501) 257-2206
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1679
AR
124Q00000X
Dental Hygienist
2902
TX
124Q00000X
Dental Hygienist
561
LA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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