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Organization

ALAYNA HATTENHAUER DDS PLLC

Active
Other names
Alayna Hattenhauer DDS PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
ALAYNA HATTENHAUER DDS (OWNER)
(870) 762-5274
Entity
Organization

Contact information

Practice address
507 HUTSON ST, BLYTHEVILLE, AR 72315-2415
(870) 762-5274
(870) 762-5280
Mailing address
507 HUTSON ST, BLYTHEVILLE, AR 72315-2415
(870) 762-5274
(870) 762-5280

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558854588
ARKANSAS
AR
01
1811022692
ARKANSAS
AR
Enumeration date
07/20/2022
Last updated
07/20/2022
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