| NPI | 1851618847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN MAKOWSKI Owner, Oral Maxillofacial Surgeon 417-623-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |