NPI | 1801416722 |
---|---|
Doing Business As | ELDON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRANDON KEITH BENNETT President 573-392-5213 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-21 |