NPI | 1124232418 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN D HEARD Dentist Owner 417-883-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014771) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |