Poplar Bluff Children's Dentistry, Llc

NPI 1255771952 - Dentist - 1223P0221X

NPI Details
NPI 1255771952
Enumeration Date 06/27/2013
Last Updated 06/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name REECA REECA
Position PEDIATRIC DENTIST
Phone (573) 778-3042
Fax
Practice Location
2951 KANELL BLVD
POPLAR BLUFF MO, 63901-4008, US
Phone (573) 778-3042
Fax
Business Location
2951 KANELL BLVD
POPLAR BLUFF MO, 63901-4008, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Missouri
License Number 2012019714
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According to our database, Poplar Bluff Children's Dentistry, Llc NPI is 1255771952, taxonomy code is 1223P0221X and license number is 2012019714, license state is located at Missouri. Poplar Bluff Children's Dentistry, Llc physically located at 2951 Kanell Blvd, Poplar Bluff MO, 63901-4008. NPI Number 1033115704 has the healthcare provider type.

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1255771952 NPI number is provided on an as is basis without warranty of any kind. 1255771952 is maintained by the National Plan & Provider Enumeration System. The contents of Poplar Bluff Children's Dentistry, Llc are for informational purposes only.