Organization
P & D ENTERPRISES OF JONESBORO PLLC
Active
Other names
Northeast Arkansas Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SECREASE (OFC MANAGER)
(870) 483-0543
Entity
Organization
Contact information
Practice address
405 HIGHWAY 463 N, TRUMANN, AR 72472-3702
(870) 483-0543
(870) 483-0544
Mailing address
405 HIGHWAY 463 N, TRUMANN, AR 72472-3702
(870) 483-0543
(870) 483-0544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2621
AR
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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