| NPI | 1932260338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY LYNN WELKER Office Administrator 573-243-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 013049) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-05-18 |