| NPI | 1982633699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITT D BURCHAM President 573-888-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015011) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-12-06 |