| Kathleen Good Ederle Dds Pa | |
|
413 N University Little Rock AR 72205-3108 | |
| (501) 664-6040 | |
| Not Available |
| Full Name | Kathleen Good Ederle Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 413 N University, Little Rock, Arkansas |
| Authorized Official Name and Position | Kathleen Good Ederle (DENTIST) |
| Authorized Official Contact | 5016646040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Good Ederle Dds Pa 413 N University Little Rock AR 72205-3108 Ph: (501) 664-6040 | Kathleen Good Ederle Dds Pa 413 N University Little Rock AR 72205-3108 Ph: (501) 664-6040 |
| NPI Number | 1336280601 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336280601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2739 (Arkansas) | Primary |
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