NATHAN JOHN PROCTOR

FORT LEONARD WOOD, MO
NPI1124370192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  8444191-9922)
Enumeration Date2012-10-15
Last Update Date2012-10-15
Business Address
NATHAN JOHN PROCTOR DDS
1724 NEBRASKA AVE.
FORT LEONARD WOOD, MO 65473
Phone number: 573-596-0408
Mailing Address
NATHAN JOHN PROCTOR DDS
1724 NEBRASKA AVE
FORT LEONARD WOOD, MO 65473-8939
Phone number: 573-596-0408
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