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DR. TRENT DAIBER

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1598438103

Individual Registrant:
DR. TRENT  DAIBER 
Gender: M
Sole Proprietor

Location and contact information for practice:
2692 BELLA VISTA WAY  BELLA VISTA, AR 72714-3704 US
Tel: 479-876-2020  Fax: --

Contact information for business:
2692 BELLA VISTA WAY  BELLA VISTA, AR 72714-3704 US
Tel: --  Fax: --

Registration Information:
NPI: 1598438103
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
AR2833

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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