Individual
DR. MARK AARON WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 DOVER RD, WEST MEMPHIS, AR 72301
(870) 735-3915
Mailing address
5892 WINDSOR FALLS LOOP, ARLINGTON, TN 38002-5395
(901) 870-5122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4278
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
06/07/2018
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