NORTHSIDE DENTAL L.L.C.

SPRINGFIELD, MO
NPI1922401793
Doing Business AsNORTHSIDE DENTAL CLINIC
Entity TypeOrganization
Authorized ContactDEREK KAELIN, DDS
Owner/Dentist
417-862-2468
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: MO  2003017125)
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
NORTHSIDE DENTAL L.L.C.
2105 W KEARNEY ST SUITE A
SPRINGFIELD, MO 65803-1652
Phone number: 417-862-2468
Mailing Address
NORTHSIDE DENTAL L.L.C.
2105 W KEARNEY ST SUITE A
SPRINGFIELD, MO 65803-1652
Phone number: 417-862-2468