| NPI | 1205699097 |
|---|---|
| Doing Business As | SUMMIT DENTAL |
| Entity Type | Organization |
| Authorized Contact | MISTY WILLIAMS Partner/Dentist 573-355-4856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |