Individual
DR. CLEO C. VANAMBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
610 LYNN ST, LEBANON, MO 65536-2410
(417) 532-7166
(417) 532-7166
Mailing address
610 LYNN ST, LEBANON, MO 65536-2410
(417) 532-7166
(417) 532-7166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11853
MO
Other
Enumeration date
08/09/2006
Last updated
07/09/2007
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