Tw Practice Partners Missouri PC

NPI #1609649524 in Rolla, Missouri

Provider Information

NPI Number: 1609649524
Entity Type: Organization
Organization Name: Tw Practice Partners Missouri PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 2, 2023
Last Updated: Nov 2, 2023

Practice Location

Address: 1701 E 10TH ST
City: Rolla
State: Missouri
ZIP Code: 65401-4601
Phone: (573) 364-1599

Authorized Official

Name: RYAN MCCOSTLIN
Title: CEO
Phone: (615) 479-2196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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