Organization
DANIEL BIRD D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BIRD D.D.S. (DENTIST)
(870) 732-2275
Entity
Organization
Contact information
Practice address
203 S AVALON ST, WEST MEMPHIS, AR 72301-4172
(870) 732-2275
(870) 732-1350
Mailing address
203 S AVALON ST, WEST MEMPHIS, AR 72301-4172
(870) 732-2275
(870) 732-1350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3437
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179108608
—
AR
Enumeration date
09/11/2012
Last updated
09/11/2012
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