| NPI | 1952403040 |
|---|---|
| Former Legal Business Name | J. WARREN HILDRETH, JR DDS PC OF MO |
| Entity Type | Organization |
| Authorized Contact | JAY WARREN HILDRETH Owner 417-466-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 011226) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2015-09-29 |