| NPI | 1801140272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CAINE MONROTUS Owner 573-756-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DE012261) |
| Additional Taxonomies | 126800000X Dental Assistant |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |