| NPI | 1568503753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H FRED CHRISTMAN Member/Manager 573-449-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO MO 14100) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2015-03-06 |