Individual
KYNNEDY B WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
310 E CENTERTON BLVD, CENTERTON, AR 72719-9217
(479) 579-3742
Mailing address
2385 BUCKSIDE ST, SPRINGDALE, AR 72762-3292
(337) 499-0155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4849
AR
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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