Organization
FRANCIS J. OTRADOVEC, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS J. OTRADOVEC D.D.S (PRESIDENT)
(573) 443-0593
Entity
Organization
Contact information
Practice address
201 W BROADWAY, BLD 5, COLUMBIA, MO 65203-3842
(573) 443-0593
(573) 443-3156
Mailing address
201 W BROADWAY, BLD 5, COLUMBIA, MO 65203-3842
(573) 443-0593
(573) 443-3156
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
011967
MO
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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