Individual
VINCENT MICHAEL ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 CECIL ST STE G, CAMDENTON, MO 65020-7066
(573) 321-1363
Mailing address
108 CECIL ST STE G, CAMDENTON, MO 65020-7066
(573) 321-1363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019020085
MO
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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