| NPI | 1417258393 |
|---|---|
| Doing Business As | POPLAR BLUFF ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN G BURRIS Orthodontist 1573-776-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |