Individual
ADRIANNA NOVARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Mailing address
505 WELLESLEY DR, NORMAL, IL 61761-2481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018020931
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
01/16/2019
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