Individual
JYOTHSNA MEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1050 W 10TH ST STE 520, ROLLA, MO 65401-2905
(573) 426-2233
(573) 202-2450
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 426-2233
(573) 202-2450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017031391
MO
Other
Enumeration date
09/12/2017
Last updated
03/30/2021
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