DAVID L. DETAR, DDS, PC

JOPLIN, MO
NPI1982800850
Entity TypeOrganization
Authorized ContactDAVID LAWRENCE DETAR
Owner
417-781-8240
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
(Licence: MO  12028)
Enumeration Date2007-06-26
Last Update Date2020-08-22
Business Address
DAVID L. DETAR, DDS, PC
3115 ARIZONA AVE
JOPLIN, MO 64804-3125
Phone number: 417-781-8240
Mailing Address
DAVID L. DETAR, DDS, PC
3115 ARIZONA AVE
JOPLIN, MO 64804-3125
Phone number: 417-781-8240
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