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1023321098
ADAM JACOB ANDERSON
SPRINGDALE, AR
NPI
1023321098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AR 4031)
Additional Taxonomies
122300000X Dentist
(Licence: OK 6258)
Enumeration Date
2010-07-20
Last Update Date
2015-07-07
Business Address
Dr. ADAM JACOB ANDERSON D.D.S
3617 W SUNSET AVE
SPRINGDALE, AR 72762-4955
Phone number: 479-419-9991
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Mailing Address
Dr. ADAM JACOB ANDERSON D.D.S
3617 W SUNSET AVE
SPRINGDALE, AR 72762-4955
Phone number: 479-419-9991
Copy
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