Individual
DR. JUSTIN BRYCE BODEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40 MITCHELL RD, BATESVILLE, AR 72501
(870) 926-5102
Mailing address
PO BOX 2451, BATESVILLE, AR 72503-2451
(870) 926-5102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4054
AR
Other
Enumeration date
06/25/2015
Last updated
10/21/2019
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