Individual
KEN KEITH SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
404 W VINE ST, SEARCY, AR 72143
(501) 268-8669
(501) 268-8239
Mailing address
404 W VINE ST, SEARCY, AR 72143
(501) 268-8669
(501) 268-8239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2191
AR
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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