Individual
DR. KELLY DOVE DOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
725 W MT. VERNON ST., NIXA, MO 65714
(417) 708-9098
(417) 869-2469
Mailing address
725 W. MT. VERNON ST., NIXA, MO 65714
(417) 862-2468
(417) 869-2469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2012015525
MO
1223G0001X
General Practice Dentistry
201205525
MO
Other
Enumeration date
06/05/2012
Last updated
05/05/2017
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