Individual
MR. KYLE DEWAYNE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1919 HWY 65 S, CLINTON, AR 72031
(501) 745-5393
(501) 745-3193
Mailing address
PO BOX 1095, CLINTON, AR 72031
(501) 745-5393
(501) 745-3193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3097
AR
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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