Individual
CAITLYN VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E 9TH ST, ELDON, MO 65026-1605
(573) 392-3886
Mailing address
102 E 9TH ST, ELDON, MO 65026-1605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017017412
MO
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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