| NPI | 1861906711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DONALD SCOTT Owner 573-446-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015928) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |