GRANT WENDELL WEATHERS

SIKESTON, MO
NPI1801921010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  14998)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
Dr. GRANT WENDELL WEATHERS D.D.S.
405 TANNER ST
SIKESTON, MO 63801-4272
Phone number: 573-471-5155
Mailing Address
Dr. GRANT WENDELL WEATHERS D.D.S.
405 TANNER ST
SIKESTON, MO 63801-4272
Phone number: 573-471-5155
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