| NPI | 1023473824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MCDAVID Owner/Partner 573-694-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2025-12-19 |