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 |