Individual
DR. TOMMY DEAN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 NORTH MAIN, MOUNTAIN GROVE, MO 65711
(417) 926-3600
(417) 926-7422
Mailing address
PO BOX 864, 901 NORTH MAIN, MOUNTAIN GROVE, MO 65711
(417) 926-3600
(417) 926-7422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014149
MO
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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