NPI | 1568132983 |
---|---|
Doing Business As | SEDALIA DENTISTRY FOR CHILDREN |
Entity Type | Organization |
Authorized Contact | KRISTIN BURRIS Practice Manager 573-874-1990 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-09-16 |
Last Update Date | 2021-09-16 |