KIDZ CHOICE CONWAY LLC NPI 1669800421

NPI Information

KIDZ CHOICE CONWAY LLC is a general practice dentist in Conway, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KIDZ CHOICE CONWAY LLC NPI is 1669800421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2415 PRINCE ST
SUITE 105
CONWAY, AR
ZIP 72034-746
Phone: (501) 327-6453
Fax: (501) 327-0242

The provider's authorized official is Erin Cupan .
The authorized official title is Practice Administrator and has the following contact phone number (501) 327-6453.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 10/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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