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Organization
TRI-LAKES DENTAL CENTER
Active
Organization
TRI-LAKES DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RICK DDS (OWNER/DENTIST)
(417) 337-0332
Entity
Organization
Contact information
Practice address
10994 HISTORIC HIGHWAY 165, HOLLISTER, MO 65672-6234
(417) 335-4630
(417) 339-2026
Mailing address
10994 HISTORIC HIGHWAY 165, HOLLISTER, MO 65672-6234
(417) 335-4630
(417) 339-2026
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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