Individual
DR. DERRICK KYLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2840 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
(870) 246-9847
Mailing address
2840 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
(870) 703-3194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3874
AR
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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