| NPI | 1952766487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREEMAN STANLEY WILLIAMS Owner 573-335-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 015047) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |