NPI | 1073668216 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD R. JUMP Shareholder, President 417-326-2244 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 011231) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2008-07-29 |