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Organization

SIEGFRIED,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE ERIN SIEGFRIED DDS (SOLE MBR)
(501) 628-5555
Entity
Organization

Contact information

Practice address
12 MARLOU DR, CABOT, AR 72023-3693
(501) 628-5555
(501) 628-5556
Mailing address
12 MARLOU DR, CABOT, AR 72023-3693
(501) 628-5555
(501) 628-5556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3838
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197469608
AR
Enumeration date
03/19/2015
Last updated
03/19/2015
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