| Street | 406 E Henri De Tonti Blvd | ||
| City/Town | Springdale | ||
| State/Province/Region | Arkansas | ||
| Zip/Postal Code | 72762 | ||
| Phone Number | (479) 361-9100 | ||
| Country | United States |
| Full Name | Prof. Alfonzo Jenkins DDS | ||
| Gender | male | ||
| Birthday | 1971-03-08 | ||
| Social Security Number | 395-33-3227 |
| Credit card brand | JCB | ||
| Credit card number | 3527436406909261 | ||
| Expire | 2028/4 | ||
| CVV | 412 |