Organization
ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
Active
Parent organization
ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
Other names
Dental Health of Fianna
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
Authorized official
TABATHA LEMKE (CREDENTIALING)
(217) 540-6078
Entity
Organization
Contact information
Practice address
9004 JENNY LIND RD, FORT SMITH, AR 72908-8630
(479) 262-9101
Mailing address
9004 JENNY LIND RD, FORT SMITH, AR 72908-8630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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