Vernon Dental Clinic

NPI #1265029797 in Eldon, Missouri

Provider Information

NPI Number: 1265029797
Entity Type: Organization
Organization Name: Vernon Dental Clinic
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 30, 2020
Last Updated: Jan 4, 2021

Practice Location

Address: 102 E 9TH ST
City: Eldon
State: Missouri
ZIP Code: 65026-1605
Phone: (573) 392-3886

Authorized Official

Name: DR. CAITLYN VERNON, DDS
Title: DENTIST
Phone: (573) 392-3886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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