NPI | 1255749388 |
---|---|
Entity Type | Organization |
Authorized Contact | LETRISHA ANN THOMAS President/Director 573-446-3848 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2010019430) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2014-11-05 |