| NPI | 1164622395 |
|---|---|
| Doing Business As | MID MISSOURI DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KERRI L SMITH Office Manager 573-814-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 010435) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |