| NPI | 1447794193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO LEMUS Dentist 417-626-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2014018841) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |