Most Relevant Information
Provider Data
| NPI Number: | 1003826314 |
| Provider Name: | BRYAN KEITH ANGEL DDS, PA |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 3321 |
Most Important Dates
| Enumeration Date: | 08/09/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
300 S RODNEY PARHAM RD
SUITE 3
LITTLE ROCK
AR
722054747
Practice Location Phone/Fax
| Phone: | 5012244799 |
| Fax: | 5012249278 |
Provider Mailing Location
300 S RODNEY PARHAM RD
SUITE 3
LITTLE ROCK
AR
722054747
Provider Mailing Phone/Fax
| Phone: | 5012244799 |
| Fax: | 5012249278 |