Organization
SPOT 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA BAHR DMD (MEMBER)
(303) 524-4501
Entity
Organization
Contact information
Practice address
1324 E MONTCLAIR ST, SPRINGFIELD, MO 65804-4245
(417) 886-9939
Mailing address
1712 PIONEER AVE, STE 5651A, CHEYENNE, WY 82001-4406
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2008019818
MO
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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