| NPI | 1366612442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE EDWARD WHEELER Dentist 417-883-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015903) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-06-18 |