Individual
MR. JOHNNY L BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
418 W MAPLE AVE, SPRINGDALE, AR 72764-5334
(479) 751-8820
(479) 751-3117
Mailing address
418 W MAPLE AVE, SPRINGDALE, AR 72764-5334
(479) 751-8820
(479) 751-3117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR2398
AR
Other
Enumeration date
06/12/2006
Last updated
01/08/2015
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