| NPI | 1770368177 |
|---|---|
| Doing Business As | OZARK MOUNTAIN PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRAD REESE BURKS President 417-882-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |