Individual
USAMA KAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
7801 PHOENIX AVE, FORT SMITH, AR 72903-5091
(479) 452-8650
(479) 484-0540
Mailing address
7801 PHOENIX AVE, FORT SMITH, AR 72903-5091
(479) 452-8650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4297
AR
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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