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Individual

DR. SAMARIA MASCAGNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
13600 DAVID O. DODD, LITTLE ROCK, AR 72210
(501) 312-7576
(501) 687-0669
Mailing address
13600 DAVID O. DODD, LITTLE ROCK, AR 72210
(501) 312-7576
(501) 687-0669

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3435
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181379608
AR
Enumeration date
02/15/2007
Last updated
04/25/2013
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