Organization
KIDZ CHOICE CONWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN CUPAN (PRACTICE ADMINISTRATOR)
(501) 327-6453
Entity
Organization
Contact information
Practice address
2415 PRINCE ST, SUITE 105, CONWAY, AR 72034-3746
(501) 327-6453
(501) 327-0242
Mailing address
2415 PRINCE ST, SUITE 105, CONWAY, AR 72034-3746
(501) 327-6453
(501) 327-0242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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