| NPI | 1396141750 |
|---|---|
| Doing Business As | MISSOURI FLAT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STOUT Owner 530-642-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2022-02-04 |