Individual
DR. TANNER ALIN MATONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
407 AR-5, BENTON, AR 72019
(507) 315-1512
Mailing address
14107 RIDGEWOOD DR, LITTLE ROCK, AR 72211-4525
(901) 828-2150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4541
AR
Other
Enumeration date
07/15/2021
Last updated
11/02/2022
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