Individual
DR. KRISTI TENNILLE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
805 N 20TH PL, ROGERS, AR 72756-3571
(479) 234-2089
Mailing address
703 SE FULLERTON ST, BENTONVILLE, AR 72712-4276
(479) 234-2089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3722
AR
Other
Enumeration date
10/14/2009
Last updated
09/13/2023
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