| NPI | 1760638365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W JANES General Dentist 573-221-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DE015296) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO DE015702) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |