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Organization
FRANCIS J. OTRADOVEC, DDS PC
Active
Organization
FRANCIS J. OTRADOVEC, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS J. OTRADOVEC D.D.S (PRESIDENT)
(573) 443-0593
Entity
Organization
Contact information
Practice address
201 W BROADWAY, BLD 5, COLUMBIA, MO 65203-3842
(573) 443-0593
(573) 443-3156
Mailing address
201 W BROADWAY, BLD 5, COLUMBIA, MO 65203-3842
(573) 443-0593
(573) 443-3156
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
011967
MO
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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