Organization
MOC WEBB CITY, P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED L CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
3100 E ZORA ST, WEBB CITY, MO 64870-9770
(417) 781-3182
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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