Ads Mt. Grove LP
NPI #1619742673 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1619742673
- Entity Type
- Organization
- Organization Name
- Ads Mt. Grove LP
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 20, 2023
- Last Updated
- Nov 20, 2023
Practice Location
- Address
- 921 N MAIN ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1316
- Phone
- (417) 926-1160
Authorized Official
- Name
- KARI A HICKS
- Title
- MANAGING DIRECTOR
- Phone
- (417) 501-1082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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