| Ettienne R Van Zyl, Dds, Pllc | |
|
701 S Horsebarn Rd Ste 102 Rogers AR 72758-8796 | |
| (479) 372-4500 | |
| (479) 372-4525 |
| Full Name | Ettienne R Van Zyl, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 701 S Horsebarn Rd Ste 102, Rogers, Arkansas |
| Authorized Official Name and Position | Ettienne Reinhardt Van Zyl (OWNER/MEMBER) |
| Authorized Official Contact | 4793724500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ettienne R Van Zyl, Dds, Pllc 701 S Horsebarn Rd Ste 102 Rogers AR 72758-8796 Ph: (479) 372-4500 | Ettienne R Van Zyl, Dds, Pllc 701 S Horsebarn Rd Ste 102 Rogers AR 72758-8796 Ph: (479) 372-4500 |
| NPI Number | 1588127021 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588127021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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