| NPI | 1568885762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ALAN ROCKWELL Owner/Dentist 573-785-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2013004584) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |