Individual
DR. MARY ANN WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
620 JULIA AVE E, WYNNE, AR 72396-3504
(870) 208-3115
Mailing address
620 JULIA AVE E, WYNNE, AR 72396-3504
(870) 238-2600
(870) 238-5522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3649
AR
Other
Enumeration date
05/30/2008
Last updated
08/22/2008
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