| NPI | 1740627447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DALE COYLE Owner/Member 573-874-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 016056) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |