| NPI | 1922137652 |
|---|---|
| Other Name | PARTNERSHIP |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE SCHANDA Office Manager 417-546-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 17904749) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-08-31 |