Individual
LARRY C EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2301 W WALNUT ST, SUITE 15, ROGERS, AR 72756-3586
(479) 633-0111
(479) 633-0156
Mailing address
2301 W WALNUT ST, SUITE 15, ROGERS, AR 72756-3586
(479) 633-0111
(479) 633-0156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3039
AR
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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