HARRISON JAKE WADDELL

ROGERS, AR
NPI1255171013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AR  4745)
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
HARRISON JAKE WADDELL DMD
805 N 20TH PL STE 2
ROGERS, AR 72756-3571
Phone number: 479-986-0905
Mailing Address
HARRISON JAKE WADDELL DMD
805 N 20TH PL STE 2
ROGERS, AR 72756-3571
Phone number: 479-986-0905
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