Organization
KATHLEEN GOOD EDERLE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN GOOD EDERLE DDS PA (DENTIST)
(501) 664-6040
Entity
Organization
Contact information
Practice address
413 N UNIVERSITY, LITTLE ROCK, AR 72205-3108
(501) 664-6040
Mailing address
413 N UNIVERSITY, LITTLE ROCK, AR 72205-3108
(501) 664-6040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2739
AR
Other
Enumeration date
02/09/2007
Last updated
10/02/2012
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