NPI | 1730851296 |
---|---|
Doing Business As | EXO DENTAL |
Entity Type | Organization |
Authorized Contact | JACOB OLIVER SMITH Dentist, Business Owner 573-380-8867 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-04 |
Last Update Date | 2024-10-28 |