Individual
KEVIN RYAN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1224 W COURT ST, PARAGOULD, AR 72450-4132
(870) 239-5518
Mailing address
1224 W COURT ST, PARAGOULD, AR 72450-4132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3666
AR
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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