| NPI | 1548316375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX E. HARKEY Chief Executive Officer 417-924-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014413) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |