JERIN NMN JOSEPH

FORT LEONARD WOOD, MO
NPI1548714090
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN24821)
Additional Taxonomies122300000X Dentist
(Licence: PA  041013)
Enumeration Date2016-08-12
Last Update Date2020-08-31
Business Address
Dr. JERIN NMN JOSEPH DDS
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473-1618
Phone number: 573-596-0411
Mailing Address
Dr. JERIN NMN JOSEPH DDS
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473-1618
Phone number: 573-596-0411
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