Individual
JASON RANDALL MOUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2501 CRESTWOOD RD, SUITE 202, N LITTLE ROCK, AR 72116-6864
(501) 753-0166
(501) 753-1071
Mailing address
2501 CRESTWOOD RD, SUITE 202, N LITTLE ROCK, AR 72116-6864
(501) 753-0166
(501) 753-1071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16402
FL
122300000X
Dentist
Primary
3450
AR
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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