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Individual

DR. GARY D ORMSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
604 VINE ST, POPLAR BLUFF, MO 63901-5039
(573) 785-5741
(573) 785-5741
Mailing address
604 VINE ST, POPLAR BLUFF, MO 63901-5039
(573) 785-5741
(573) 785-5741

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12729
MO

Other

Enumeration date
09/26/2007
Last updated
09/26/2007
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