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1548360001
KEN I WOOD
JONESBORO, AR
NPI
1548360001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: AR 2738)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
-- KEN I WOOD DDS MS
2702 CULBERHOUSE SOUTHWEST VILLAGE
JONESBORO, AR 72401
Phone number: 870-931-5437
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Mailing Address
-- KEN I WOOD DDS MS
PO BOX 1369
JONESBORO, AR 72403-1369
Phone number: 870-931-5437
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