Individual
R KENDALL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5505 EUPER LN, SUITE B, FORT SMITH, AR 72903-3233
(479) 478-6060
(479) 478-6122
Mailing address
5505 EUPER LN, SUITE B, FORT SMITH, AR 72903-3233
(479) 478-6060
(479) 478-6122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2787
AR
Other
Enumeration date
01/29/2007
Last updated
01/24/2011
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