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 |