Organization
JONATHAN R EHLERS DDS PC
Active
Other names
Tiger Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN RAY EHLERS DDS (DENTIST/OWNER)
(660) 827-2405
Entity
Organization
Contact information
Practice address
991 WINCHESTER DR STE 1, SEDALIA, MO 65301-2553
(660) 827-2405
(660) 951-1160
Mailing address
991 WINCHESTER DR STE 1, SEDALIA, MO 65301-2553
(660) 827-2405
(660) 951-1160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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