Dental Arts Group L.l.c

NPI #1679138036 in Poplar Bluff, Missouri

Provider Information

NPI Number
1679138036
Entity Type
Organization
Organization Name
Dental Arts Group L.l.c
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL ARTS GROUP L.L.C
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 1, 2019
Last Updated
Jan 27, 2020

Practice Location

Address
2700 KANELL BLVD
ZIP Code
63901-3041
Phone
(573) 785-0111

Authorized Official

Name
JOHN R BLAICH
Title
DENTIST
Phone
(573) 785-0111

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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