Individual
KEVIN L WARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1105 W COURT ST, PARAGOULD, AR 72450-4102
(870) 239-4017
(870) 239-2182
Mailing address
PO BOX 1307, PARAGOULD, AR 72451-1307
(870) 238-4017
(870) 239-2182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3020
AR
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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