Individual
DR. ANNAKATE MILBURN TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
825 N MAIN ST STE 6, HARRISON, AR 72601-2914
(870) 204-6555
Mailing address
825 N MAIN ST STE 6, HARRISON, AR 72601-2914
(870) 204-6555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8774
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3808
AR
Other
Enumeration date
06/11/2009
Last updated
10/03/2011
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