Kevin Wayne Mitchell, DDS

NPI #1134273865 in Dexter, Missouri

Provider Information

NPI Number: 1134273865
Entity Type: Individual
Name: Kevin Wayne Mitchell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 851 WEST GRANT
City: Dexter
State: Missouri
ZIP Code: 63841
Phone: (573) 624-8005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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