| NPI | 1568534949 |
|---|---|
| Former Legal Business Name | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | JERRY FRANKLIN CASH Doctor 417-881-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 11841451) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |