| NPI | 1114217585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SCHOOLMAN Owner 573-334-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 2003012137) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-04-10 |