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Organization

R KENDALL ROBERTS DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARNIE SANZ (CREDENTIALING SPECIALIST)
(615) 942-0204
Entity
Organization

Contact information

Practice address
5505 EUPER LN, FORT SMITH, AR 72903-3233
(479) 478-6060
Mailing address
PO BOX 306488, NASHVILLE, TN 37230-6488
(615) 942-0204

Taxonomy

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

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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