Organization
JON C. MANN, D.M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON C MANN D.M.D. (PRESIDENT)
(417) 581-2430
Entity
Organization
Contact information
Practice address
206 S 2ND AVE, OZARK, MO 65721-8467
(417) 581-2430
(417) 581-5235
Mailing address
PO BOX 1610, OZARK, MO 65721-1610
(417) 581-2430
(417) 581-5235
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16094
MO
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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