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Organization
PREMIER DENTAL & ORAL HEALTH GROUP,P.C.
Active
Organization
PREMIER DENTAL & ORAL HEALTH GROUP,P.C.
Active
Parent organization
PREMIER DENTAL & ORAL HEALTH GROUP,P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER DENTAL & ORAL HEALTH GROUP,P.C.
Authorized official
DR. RONALD E MASSIE DDS (PRESIDENT/ OWNER)
(573) 365-0220
Entity
Organization
Contact information
Practice address
24 N SHORE DR, LAKE OZARK, MO 65049-7111
(573) 365-0220
(573) 365-1962
Mailing address
24 N SHORE DR, LAKE OZARK, MO 65049-7111
(573) 365-0220
(573) 365-1962
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
15226
MO
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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