Individual
MARIE KATHLEEN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
(870) 394-4817
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(707) 353-8428
(870) 394-4817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11370
TN
1223G0001X
General Practice Dentistry
4183-21
MS
1223G0001X
General Practice Dentistry
Primary
4697
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
09/21/2023
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