Individual
DR. JESSE BLAKE KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
465 MEDICAL CENTER PKWY, CLINTON, AR 72031-7946
(501) 745-8811
(501) 745-5042
Mailing address
465 MEDICAL CENTER PKWY, CLINTON, AR 72031-7946
(501) 745-8811
(501) 475-5042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4445
AR
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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