Alayna Hattenhauer DDS PLLC
Clinic/Center, Dental in Blytheville, AR. Organization (NPI-2).
NPI number1962137331
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1962137331
- Entity type
- Organization (NPI-2)
- Legal business name
- Alayna Hattenhauer DDS PLLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Alayna Hattenhauer DDS PLLC (Doing Business As)
Practice location
507 Hutson StBlytheville, AR 72315-2415
Phone 870-762-5274 · Fax 870-762-5280
Mailing address
507 Hutson StBlytheville, AR 72315-2415
Phone 870-762-5274 · Fax 870-762-5280
Authorized official
Alayna Hattenhauer
Owner
8707625274
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