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 |