| NPI | 1922212778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G. TEUBNER Dentist 573-635-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14342) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |