| NPI | 1629490925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FAYE MORRIS President 417-882-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2005013599) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |