MBD MERGER LLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1477824662- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1736 BROADWAY, CAPE GIRARDEAU, MO, 63701
- Phone
- (573) 334-5755
- Fax
- (573) 334-1501
Specialties & Taxonomies
Dentist
Primary License: MO #2006015824