Individual
DR. CHARLES MICHAEL RISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 S COLLEGE ST, SUITE 4, MOUNTAIN HOME, AR 72653-3923
(870) 425-4777
(870) 425-6345
Mailing address
400 S COLLEGE ST, SUITE 4, MOUNTAIN HOME, AR 72653-3923
(870) 425-4777
(870) 425-6345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2305
AR
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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