| NPI | 1144374984 |
|---|---|
| Doing Business As | FOX GRAPE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HOWARD E SHAYNE Owner 417-882-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 015340) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |