| NPI | 1104937887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E TAYLOR Owner 573-446-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2001032600) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-03-19 |