NPI | 1437558137 |
---|---|
Doing Business As | EXPEDITION PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JESSE NATHANIEL GARDNER Owner 417-719-7862 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2012019137) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2024-12-11 |