NPI 1003173634

Kidz Choice Dental PA

Organisation Dental Clinic/Center Conway, AR

Practice location

Address: 2415 Prince St STE 105, Conway, AR 72034-3746
Phone: (501) 327-2030
Fax: (501) 327-0242

Authorised official

Name: Edwin Kyle Dalton
Title: President
Phone: (501) 327-2030

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 2841 (AR)

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1003173634
Entity type: Organization
NPI issued: 20 Apr 2012
Record last updated: 20 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.