Provider Demographics
NPI:1821188087
Name:WARREN, LONAL C (DDS)
Entity Type:Individual
Prefix:DR
First Name:LONAL
Middle Name:C
Last Name:WARREN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11601 W MARKHAM ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2766
Mailing Address - Country:US
Mailing Address - Phone:501-224-2274
Mailing Address - Fax:501-224-2271
Practice Address - Street 1:11601 W MARKHAM ST
Practice Address - Street 2:SUITE C
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2766
Practice Address - Country:US
Practice Address - Phone:501-224-2274
Practice Address - Fax:501-224-2271
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR1918122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist