Individual
MR. BERNARD W PETKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
500 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2913
(870) 425-9757
(870) 424-9056
Mailing address
500 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2913
(870) 425-9757
(870) 424-9056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2371
AR
Other
Enumeration date
08/17/2006
Last updated
05/16/2013
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