Organization
BOB MATHIS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB MATHIS DDS (PRESIDENT DENTIST)
(870) 425-6911
Entity
Organization
Contact information
Practice address
26 GREEN VALLEY DR, BOB MATHIS DDS PA, MOUNTAIN HOME, AR 72653-8102
(870) 425-6911
(870) 424-4891
Mailing address
26 GREEN VALLEY DR, BOB MATHIS DDS PA, MOUNTAIN HOME, AR 72653-8102
(870) 425-6911
(870) 424-4891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2029
AR
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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