Individual
DR. CLINT DAWSON KOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2700 ALLYSON LN, CONWAY, AR 72034-6281
(501) 730-0375
(501) 730-0335
Mailing address
PO BOX 11020, CONWAY, AR 72034-0018
(501) 730-0375
(501) 730-0335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3587
AR
1223P0221X
Pediatric Dentistry
Primary
3587
AR
Other
Enumeration date
11/22/2006
Last updated
06/26/2014
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