| NPI | 1659940575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG STEPHEN SCOTT Owner/Orthodontist 417-881-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |