Organization
DEQUEEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIE JAQUESS D.D.S. (PHYSICIAN)
(870) 642-5034
Entity
Organization
Contact information
Practice address
1347 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-5034
(870) 642-2365
Mailing address
1347 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-5034
(870) 642-2365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3669
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199929631
—
AR
Enumeration date
01/03/2014
Last updated
01/03/2014
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