Organization
UNCOMMON ORTHODONTICS BY WILLIAM A. PICKARD, DDS, MS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN PICKARD (OWNER)
(417) 625-1114
Entity
Organization
Contact information
Practice address
2330 S RANGE LINE RD STE E, JOPLIN, MO 64804-3267
(417) 625-1114
Mailing address
2330 S RANGE LINE RD STE E, JOPLIN, MO 64804-3267
(417) 625-1114
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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