Organization · Type 2 NPI
Premier Dental & Oral Health Group,p.c.
Customized Equipment (DME) · Lake Ozark, MO
NPI number
1184094880
Active
Practice location
24 N Shore Dr
Lake Ozark, MO 65049-7111
Fax (573) 365-1962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 15226 (MO) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1184094880
Premier Dental & Oral Health Group,p.c.'s National Provider Identifier is 1184094880, issued on Oct 7, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Lake Ozark, MO. The record was last updated on Oct 7, 2015.