| NPI | 1235493248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHMAN TEHRANI Owner, President 417-396-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 1999139479) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |