Individual
MRS. TABITHA A WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12921 CANTRELL ROAD, SUITE 101, LITTLE ROCK, AR 72223-1798
(501) 664-3279
(501) 664-5392
Mailing address
12921 CANTRELL ROAD, SUITE 101, LITTLE ROCK, AR 72223-1798
(501) 664-3279
(501) 664-5392
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2217
AR
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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