Organization
CARROLLTON DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI L NOLKE (OFFICE MANAGER)
(660) 542-1653
Entity
Organization
Contact information
Practice address
1411A N JEFFERSON ST, CARROLLTON, MO 64633-1945
(660) 542-1653
(660) 542-1654
Mailing address
1411A N JEFFERSON ST, CARROLLTON, MO 64633-1945
(660) 542-1653
(660) 542-1654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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