Individual
DAVID LEON SCARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
503 N BROADWAY ST, FAIRFAX, MO 64446-9226
(660) 686-2566
Mailing address
503 N BROADWAY ST, FAIRFAX, MO 64446-9226
(660) 686-2566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014541
MO
Other
Enumeration date
10/12/2006
Last updated
07/09/2007
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