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1881757110
JAY RICHARD PONTIOUS
HERMANN, MO
NPI
1881757110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2001033082)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Dr. JAY RICHARD PONTIOUS D.D.S.
214 SCHILLER ST HERMANN DENTAL, LLC
HERMANN, MO 65041-1152
Phone number: 573-486-5431
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Mailing Address
Dr. JAY RICHARD PONTIOUS D.D.S.
214 SCHILLER ST HERMANN DENTAL, LLC
HERMANN, MO 65041-1152
Phone number: 573-486-5431
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