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Individual

RALPH A TEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,P.A

Contact information

Practice address
1200 MCLAIN ST STE 8, SUITE 8, NEWPORT, AR 72112-3534
(870) 523-6555
Mailing address
5405 CORD RD, NEWARK, AR 72562-9489
(870) 523-6555

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2453
AR

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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