| NPI | 1780799320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE LOUISE TUNGESVIK President 573-635-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015327) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |