Individual
JOSHUA KEITH GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2002 N UNIVERSITY AVE, LITTLE ROCK, AR 72207-4300
(501) 666-2876
Mailing address
2002 N UNIVERSITY AVE, LITTLE ROCK, AR 72207-4300
(601) 650-6536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4752
AR
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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