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1992432447
GRAND DENTAL STUDIO LLC
SPRINGFIELD, MO
NPI
1992432447
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Entity Type
Organization
Authorized Contact
NICHOLAS R MATTHEWS
Owner/Dentist
417-865-8405
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-08-04
Last Update Date
2023-03-29
Business Address
GRAND DENTAL STUDIO LLC
948 S JEFFERSON AVE
SPRINGFIELD, MO 65806-3204
Phone number: 417-861-8876
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Mailing Address
GRAND DENTAL STUDIO LLC
948 S JEFFERSON AVE
SPRINGFIELD, MO 65806-3204
Phone number: 417-865-8405
Copy
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