Individual
MR. DAVID LEROY TONGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 TANNER ST, SIKESTON, MO 63801
(573) 471-2690
(573) 471-2708
Mailing address
PO BOX 104, SIKESTON, MO 63801-0104
(573) 471-2690
(573) 471-2708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013530
MO
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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