Individual
DR. JAMIE DIMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S 20TH ST, ROGERS, AR 72758-1101
(479) 636-9688
Mailing address
110 S 20TH ST, ROGERS, AR 72758-1101
(479) 636-9688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4342
AR
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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