Fredericktown Family Dental

NPI #1043689557 in Fredericktown, Missouri

Provider Information

NPI Number
1043689557
Entity Type
Organization
Organization Name
Fredericktown Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 15, 2015
Last Updated
Sep 16, 2015

Practice Location

Address
731 W MAIN ST
ZIP Code
63645-1113
Phone
(573) 783-4100

Authorized Official

Name
JOHN ADAMS
Title
OWNER
Phone
(573) 783-4100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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