Individual
DR. KIMBERLY PETKOVICH VAGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
500 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2913
(870) 425-9757
(870) 424-9056
Mailing address
500 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2913
(870) 425-9757
(870) 424-9056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3772
AR
Other
Enumeration date
06/10/2010
Last updated
01/04/2015
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