| NPI | 1124284658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T GOODMAN Owner/Dentist 417-326-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2005015020) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |