Individual
AUSTIN RAY WILKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 HIGHWAY 5 N STE 10, MOUNTAIN HOME, AR 72653-3039
(870) 424-4670
(870) 425-4674
Mailing address
330 HIGHWAY 5 N STE 10, MOUNTAIN HOME, AR 72653-3039
(870) 424-4670
(870) 425-4674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4438
AR
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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