Organization
CARROLL FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN PEVAHOUSE DDS (GENERAL DENIST)
(501) 776-0620
Entity
Organization
Contact information
Practice address
1202 HWY 35 N, BENTON, AR 72019-2328
(501) 776-0620
Mailing address
1202 HWY 35 N, BENTON, AR 72019-2328
(501) 776-0620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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