Mary Ann Weatherford DDS, PA
Dentist in Wynne, AR. Organization (NPI-2).
NPI number1609025451
StatusActive
Last updated in NPPESSep 17, 2008
Details
- NPI
- 1609025451
- Entity type
- Organization (NPI-2)
- Legal business name
- Mary Ann Weatherford DDS, PA
- Organization subpart
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Sep 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3649 | AR | Yes |
Practice location
620 Julia Ave EWynne, AR 72396-3504
Phone 870-238-2600 · Fax 870-238-5522
Mailing address
Po Box 554620 Julia
Wynne, AR 72396-0554
Phone 870-238-2600 · Fax 870-238-5522
Authorized official
Mary Ann Weatherford
Dentist
8706972606
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