Graham Family Dental, PLLC
Dentist, General Practice in Forrest City, AR. Organization (NPI-2).
NPI number1275129116
StatusActive
Last updated in NPPESDec 15, 2020
Details
- NPI
- 1275129116
- Entity type
- Organization (NPI-2)
- Legal business name
- Graham Family Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 15, 2020
- Certification date
- Dec 15, 2020
- Last updated
- Dec 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
326 N Rosser StForrest City, AR 72335-3247
Phone 870-633-4591
Mailing address
6 Birnamwood StForrest City, AR 72335-2415
Phone 870-821-9212
Authorized official
Caitlin Kern Graham
Dentist/Owner
8708219212
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