| NPI | 1285623504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MICHAEL GADBOIS Doctor 573-446-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2000158124) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2017-02-27 |