TAILWATER PRACTICE PARTNERS

ROLLA, MO
NPI1073393336
Entity TypeOrganization
Authorized ContactRYAN MCCOSTLIN
CEO
615-479-2196
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
TAILWATER PRACTICE PARTNERS
1701 E 10TH ST
ROLLA, MO 65401-4601
Phone number: 573-364-1599
Mailing Address
TAILWATER PRACTICE PARTNERS
10 BURTON HILLS BLVD STE 400
NASHVILLE, TN 37215-3004
Phone number: 615-479-2196
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