Individual
DR. KATHLEEN A WALL MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3310 HIGHWAY 5 NORTH, BENTON, AR 72019
(501) 847-7070
(501) 847-9809
Mailing address
3310 HWY 5 NORTH, BENTON, AR 72019
(501) 847-7070
(501) 847-9809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3605
AR
122300000X
Dentist
8399
TN
Other
Enumeration date
11/10/2006
Last updated
03/03/2015
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