| NPI | 1871984609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI G CRANE Office Manager 417-781-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 10670) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |