Individual
DR. CARISSA LEE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3500 BLACK FOREST DR STE 1, FAYETTEVILLE, AR 72704-6551
(479) 888-5119
Mailing address
584 CLEARWOOD AVE, SPRINGDALE, AR 72764-7206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2018017944
MO
1223G0001X
General Practice Dentistry
Primary
4510
AR
Other
Enumeration date
07/12/2018
Last updated
08/30/2021
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