DR. Champ Clark Todd, DDS

NPI #1104009984 in Canton, Missouri

Provider Information

NPI Number
1104009984
Entity Type
Individual
Name
DR. Champ Clark Todd, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Dec 14, 2007
Last Updated
Dec 14, 2007

Practice Location

Address
412 CLARK ST
City
Canton
ZIP Code
63435
Phone
(573) 288-5833

Specialties & Taxonomy Codes

Specialty
Dentist

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