Individual
MR. LOUIS C MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23 W MISSISSIPPI ST, MARIANNA, AR 72360-2568
(870) 295-0256
Mailing address
23 W MISSISSIPPI ST, MARIANNA, AR 72360-2568
(870) 295-0256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2214
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103172608
—
AR
Enumeration date
08/14/2006
Last updated
05/08/2013
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