Individual
DR. CHASE CONWAY DIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15208 BAUCH LN, LITTLE ROCK, AR 72206-5787
(501) 831-1980
Mailing address
15208 BAUCH LN, LITTLE ROCK, AR 72206-5787
(501) 831-1980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4001
AR
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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