Organization
MARY ANN WEATHERFORD DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN WEATHERFORD DDS, PA (DENTIST)
(870) 697-2606
Entity
Organization
Contact information
Practice address
620 JULIA AVE E, WYNNE, AR 72396-3504
(870) 238-2600
(870) 238-5522
Mailing address
PO BOX 554, 620 JULIA, WYNNE, AR 72396-0554
(870) 238-2600
(870) 238-5522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3649
AR
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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