Organization
FOX FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L NEWCOMB RDH (PRACTICE MANAGER)
(573) 334-8431
Entity
Organization
Contact information
Practice address
832 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-4316
(573) 334-8431
(573) 334-7631
Mailing address
832 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-4316
(573) 334-8431
(573) 334-7631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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