| NPI | 1699745935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L LUEBRECHT Office Manager 573-221-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 9881) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |