| Kidz Choice West Memphis Pllc | |
|
316 W Tyler Ave West Memphis AR 72301-4225 | |
| (870) 400-8127 | |
| Not Available |
| Full Name | Kidz Choice West Memphis Pllc |
|---|---|
| Speciality | Dentist |
| Location | 316 W Tyler Ave, West Memphis, Arkansas |
| Authorized Official Name and Position | Todd Stewart (OWNER) |
| Authorized Official Contact | 5012251577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Choice West Memphis Pllc 12018 Chenal Pkwy Little Rock AR 72211-2759 Ph: (501) 225-1577 | Kidz Choice West Memphis Pllc 316 W Tyler Ave West Memphis AR 72301-4225 Ph: (870) 400-8127 |
| NPI Number | 1487021465 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487021465 | NPI | - | NPPES |
| 1487021465 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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