| NPI | 1063861474 |
|---|---|
| Doing Business As | ALL AMERICAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS WIETHOLDER Dentist/Owner 573-449-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2016009847) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2017-05-02 |