Individual
CALVIN MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
610 N OLIVE ST, ROLLA, MO 65401-3352
(573) 364-7880
(573) 364-6473
Mailing address
11980 COUNTY ROAD 5300, ROLLA, MO 65401-6786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2003010676
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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