| NPI | 1457732208 |
|---|---|
| Doing Business As | KEEN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN L MALLOTT President 573-875-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2003102136) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |