Individual
DR. SCOTT WAYNE HERIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
110 W DRYDEN ST, ODESSA, MO 64076-1217
(816) 230-4813
(816) 633-4255
Mailing address
110 W DRYDEN ST, ODESSA, MO 64076-1217
(816) 230-4813
(816) 633-4255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015198
MO
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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