| NPI | 1932180023 |
|---|---|
| Doing Business As | DRS SUSAN PEROTKA DMD AND DENA MICHELLE EASTERLY DDS |
| Entity Type | Organization |
| Authorized Contact | SUSAN J PEROTKA Doctor Co Owner 417-887-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |