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1407988116
UT PEDIATRIC DENTISTRY
WEST MEMPHIS, AR
NPI
1407988116
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Entity Type
Organization
Authorized Contact
SANFORD JAY FENTON
Chair
870-733-3854
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
Enumeration Date
2007-03-09
Last Update Date
2009-03-19
Business Address
UT PEDIATRIC DENTISTRY
200 W TYLER AVE
WEST MEMPHIS, AR 72301-4223
Phone number: 870-733-3854
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Mailing Address
UT PEDIATRIC DENTISTRY
200 W TYLER AVE
WEST MEMPHIS, AR 72301-4223
Phone number: 870-733-3854
Copy
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