| NPI | 1265096325 |
|---|---|
| Doing Business As | JOPLIN CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RENEE MCBAY Credentialing Manager 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2020-02-18 |