JACOB WAGNER MITCHELL

MOUNTAIN HOME, AR
NPI1063190734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AR  4692)
Enumeration Date2023-07-11
Last Update Date2023-07-11
Business Address
JACOB WAGNER MITCHELL
2338 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653-6184
Phone number: 870-424-4670
Mailing Address
JACOB WAGNER MITCHELL
113 PARKVIEW DR
MOUNTAIN HOME, AR 72653-4229
Phone number: 870-424-4670