NPI | 1689680365 |
---|---|
Former Legal Business Name | MARK A. WESTHOFF,D.D.S. |
Entity Type | Organization |
Authorized Contact | MARK ALAN WESTHOFF President/CEO 417-358-9006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO MO14349) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-08-22 |