Individual
DYLAN JOSEPH EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 E RACE AVE, SEARCY, AR 72143-6203
(409) 719-1903
Mailing address
133 SANDY CREEK DR, WARD, AR 72176-8005
(409) 719-1903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4757
AR
Other
Enumeration date
03/13/2023
Last updated
06/15/2024
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