| NPI | 1073041133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAROLD JONES Dentist 573-636-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2017016803) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2022-07-21 |