Individual
DR. DOMINIQUE GLENNON HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2857 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5015
(573) 335-4646
Mailing address
2857 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5015
(573) 335-4646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012015480
MO
Other
Enumeration date
05/31/2012
Last updated
07/02/2014
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