| NPI | 1154511004 |
|---|---|
| Doing Business As | BRANSON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD D TALLON President/Owner 417-336-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13372) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |