Organization
LONG BRANCH DENTAL GROUP, DEL G. GREGORY, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIS LYNN MARSHALL (OFFICE MANAGER)
(660) 385-3413
Entity
Organization
Contact information
Practice address
1609 MAFFRY AVE, MACON, MO 63552-1960
(660) 385-3413
(660) 385-7069
Mailing address
1609 MAFFRY AVE, MACON, MO 63552-1960
(660) 385-3413
(660) 385-7069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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