| NPI | 1386763936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHEETS Oral Surgeon 573-785-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 12546) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |