| NPI | 1679748453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN ANDREW MALAKER Dentist 573-256-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2004007387) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |