NPI | 1154493765 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN DAY MAUS President 417-732-2823 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 11963) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |