| NPI | 1306182704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GARY NAIL Sole Member/Owner 417-881-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2007014543) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 012092) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |