Individual
DAVID KERNODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
708 E DIXON RD, LITTLE ROCK, AR 72206-4114
(877) 227-9892
(623) 321-6268
Mailing address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(800) 409-2563
(623) 321-6268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1904
AR
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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