SOUTHEAST MISSOURI ORAL & MAXILLOFACIAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1114217585- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 66 DOCTORS PARK, CAPE GIRARDEAU, MO, 637034928
- Phone
- (573) 334-5566
- Fax
- (573) 334-9004
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: MO #2003012137