| NPI | 1033305511 |
|---|---|
| Doing Business As | FORUM DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTY BURKE Office Manager 573-364-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO DE13190) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |