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
- City
- Poplar Bluff
- State
- Missouri
- 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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