B.w. Petkovich, D.d.s., Pa | |
500 Hospital Dr Mountain Home AR 72653-2913 | |
(870) 425-9757 | |
Not Available |
Full Name | B.w. Petkovich, D.d.s., Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 500 Hospital Dr, Mountain Home, Arkansas |
Authorized Official Name and Position | Bernard William Petkovich (DENTIST) |
Authorized Official Contact | 8704259757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
B.w. Petkovich, D.d.s., Pa 500 Hospital Dr Mountain Home AR 72653-2913 Ph: (870) 425-9757 | B.w. Petkovich, D.d.s., Pa 500 Hospital Dr Mountain Home AR 72653-2913 Ph: (870) 425-9757 |
NPI Number | 1417268426 |
---|---|
Provider Enumeration Date | 06/24/2010 |
Last Update Date | 06/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417268426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2371 (Arkansas) | Primary |
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Axpm-mountain Home Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Hospital Dr, Mountain Home, AR 72653 Phone: 870-425-9757 | |
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