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1699484840
CALLAWAY FAMILY DENTAL LLC
FULTON, MO
NPI
1699484840
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Entity Type
Organization
Authorized Contact
ALEX MADOV
Member
402-850-9285
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
CALLAWAY FAMILY DENTAL LLC
2424 N BLUFF ST
FULTON, MO 65251-2709
Phone number: 573-642-6904
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Mailing Address
CALLAWAY FAMILY DENTAL LLC
2424 N BLUFF ST
FULTON, MO 65251-2709
Phone number: 573-642-6904
Copy
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