| NPI | 1184008955 |
|---|---|
| Other Name | SPRING LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRENDA HERRMAN Owner 417-838-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO DE015183) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2015-07-12 |