Individual
NANCY LINH HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4605 PHOENIX AVE, FORT SMITH, AR 72903-6007
(479) 250-4531
Mailing address
11775 GILES RD, FARMINGTON, AR 72730-9650
(918) 360-3773
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4713
AR
261QD0000X
Dental Clinic/Center
4713
AR
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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