Individual
JONATHAN EHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1875 HIGHWAY 63, WESTPHALIA, MO 65085-2215
(573) 455-2710
(573) 455-2705
Mailing address
1875 HIGHWAY 63, WESTPHALIA, MO 65085-2215
(573) 455-2710
(573) 455-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010016134
MO
Other
Enumeration date
06/02/2010
Last updated
03/04/2015
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