| NPI | 1053446328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHEETS Oral Surgeon 573-335-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MO 12546) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |