Individual
ABHAY SURESH DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
204 N CEDAR ST, NEVADA, MO 64772-2310
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021050753
MO
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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