| Henry J Udouj, D.D.S., P.A. | |
|
2101 Dallas St Fort Smith AR 72901-6823 | |
| (479) 782-3021 | |
| (479) 782-2667 |
| Full Name | Henry J Udouj, D.D.S., P.A. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2101 Dallas St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Henry Joseph Udouj (OWNER) |
| Authorized Official Contact | 4797823021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry J Udouj, D.D.S., P.A. 2101 Dallas St Fort Smith AR 72901-6823 Ph: (479) 782-3021 | Henry J Udouj, D.D.S., P.A. 2101 Dallas St Fort Smith AR 72901-6823 Ph: (479) 782-3021 |
| NPI Number | 1972643179 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972643179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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