Nathan John Proctor, DDS
NPI #1124370192 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1124370192
- Entity Type
- Individual
- Name
- Nathan John Proctor, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Oct 15, 2012
Practice Location
- Address
- 1724 NEBRASKA AVE.
- State
- Missouri
- ZIP Code
- 65473
- Phone
- (573) 596-0408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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