| NPI | 1053404186 |
|---|---|
| Other Name | WOODRAIL DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | JON G RISCHER Pres 573-874-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14820) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |