Organization
KAVANAUGH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KIRCHER (OWNER)
(501) 666-2801
Entity
Organization
Contact information
Practice address
5307 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4610
(501) 666-2801
(501) 666-4863
Mailing address
5307 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4610
(501) 666-2801
(501) 666-4863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2807
AR
1223G0001X
General Practice Dentistry
3929
AR
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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