| NPI | 1437668126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L GARDNER Owner/Pediatric Dentist 573-443-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2015018293) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |