Individual
THOMAS DONOVAN KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9755 W STATE HIGHWAY 22, RATCLIFF, AR 72951-9000
(479) 635-5300
Mailing address
1119 SPRINGHILL RD UNIT B, BARLING, AR 72923-2468
(479) 438-0711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4317
AR
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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