| NPI | 1598890808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL HORTON President 417-887-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 012658) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |