Organization
KIDZ CHOICE WEST MEMPHIS PLLC
Active
Parent organization
STEWART DENTAL SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEWART DENTAL SERVICES, INC.
Authorized official
TODD STEWART DDS (OWNER)
(501) 225-1577
Entity
Organization
Contact information
Practice address
316 W TYLER AVE, WEST MEMPHIS, AR 72301-4225
(870) 400-8127
Mailing address
12018 CHENAL PKWY, LITTLE ROCK, AR 72211-2759
(501) 225-1577
(501) 219-4780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487021465
—
AR
Enumeration date
08/26/2015
Last updated
12/28/2015
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