Individual
DR. MARY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7301 ALCOA RD STE 1, BRYANT, AR 72022-6217
(501) 316-0002
Mailing address
7301 ALCOA RD STE 1, BRYANT, AR 72022-6217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4196
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
150
AR
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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