O W John & Assc

NPI 1235142837 - Dentist - 1223G0001X

NPI Details
NPI 1235142837
Enumeration Date 08/14/2006
Last Updated 10/15/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIM LEATRICE KIM
Position OFFICE MANAGER
Phone (301) 870-3966
Fax (301) 753-1992
Practice Location
6620 CRAIN HWY
STE 204
LA PLATA MO, 20646, US
Phone (301) 870-3966
Fax (301) 753-1992
Business Location
PO BOX 1002
6620 CRAIN HWY STE 204
LA PLATA MO, 20646, US
Phone (301) 870-3966
Fax (301) 753-1992
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, O W John & Assc NPI is 1235142837, taxonomy code is 1223G0001X O W John & Assc physically located at 6620 Crain Hwy, La Plata MO, 20646. NPI Number 1033115704 has the healthcare provider type.

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1235142837 NPI number is provided on an as is basis without warranty of any kind. 1235142837 is maintained by the National Plan & Provider Enumeration System. The contents of O W John & Assc are for informational purposes only.