| NPI | 1386774412 |
|---|---|
| Doing Business As | ACHE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS C JAY Grant Manager 417-845-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: MO 110) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-06-21 |