| NPI | 1255771952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REECA DAVES Pediatric Dentist 573-778-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2012019714) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |