Tri-Lakes Dental Center

NPI #1639802309 in Hollister, Missouri

Provider Information

NPI Number: 1639802309
Entity Type: Organization
Organization Name: Tri-Lakes Dental Center
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 8, 2022
Last Updated: Jul 8, 2022

Practice Location

Address: 10994 HISTORIC HIGHWAY 165
City: Hollister
State: Missouri
ZIP Code: 65672-6234
Phone: (417) 335-4630

Authorized Official

Name: JEFFREY RICK, DDS
Title: OWNER/DENTIST
Phone: (417) 337-0332

Specialties & Taxonomy Codes

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

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