| NPI | 1487069720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M HUNTER Owner/Dentist 417-847-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MO 13991) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2017-02-20 |