| NPI | 1659584415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN FORREST BATSON President 573-875-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12273) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |