| NPI | 1427800952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELANA MARIE YORK - DE HOYOS General Dentist 573-774-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |