| NPI | 1598914525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY SOOTER Office Manager 573-817-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 12790) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |