| NPI | 1710376470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | :LINDA KAY WESTMORELAND Owner 573-368-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 015865) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |