| NPI | 1417067554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HU Y. "ELAINE" CHEONG Dentist/Owner 573-499-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2000143591) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |