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Individual

BLAKELY CINGOLANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1112 MILITARY RD, BENTON, AR 72015-2909
(479) 409-4436
Mailing address
1112 MILITARY RD, BENTON, AR 72015-2909
(479) 409-4436

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4363
AR

Other

Enumeration date
06/17/2019
Last updated
06/17/2019
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