NPI | 1538275037 |
---|---|
Former Legal Business Name | FISHER & FISHER DMD INC |
Entity Type | Organization |
Authorized Contact | OLLIE CHRISTOPHER FISHER President 374-837-9777 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 12781) |
Additional Taxonomies | 124Q00000X Dental Hygienist |
126800000X Dental Assistant | |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-08-22 |