Individual
CLARENCE W. DILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2646 E JOYCE BOULEVARD SUITE #1, FAYETTEVILLE, AR 72703
(479) 443-4440
(479) 443-4450
Mailing address
2646 E JOYCE BOULEVARD SUITE #1, FAYETTEVILLE, AR 72703
(479) 443-4440
(479) 443-4450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2075
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160839608
—
AR
Enumeration date
08/15/2006
Last updated
09/24/2008
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