Individual
SIMONA IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3201 CLUB MANOR, SUITE A, MAUMELLE, AR 72113
(501) 851-3262
Mailing address
3201 CLUB MANOR SUITE A, MAUMELLE, AR 72113
(501) 851-3262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3929
AR
Other
Enumeration date
08/07/2013
Last updated
09/12/2016
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