| NPI | 1164635074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIO L. DAILY Member, Owner 417-883-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 11394) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-08-11 |