NPI | 1639345937 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW W SHEFFER Owner 417-624-2333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 2007032185) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-06 |