NPI 1629348198

Tabitha a Wallace, RDH

Practitioner Dental Hygienist Little Rock, AR

Practice location

Address: 12921 Cantrell Road Suite 101, Little Rock, AR 72223-1798
Phone: (501) 664-3279
Fax: (501) 664-5392

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2217 (AR)

Other Dental Hygienist providers in Arkansas →

Registry record

NPI: 1629348198
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2011
Record last updated: 30 Dec 2011

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.