| NPI | 1285159004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALAN MCQUIGG Dentist/Owner 417-623-8232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MO 2009014628) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |