Organization
DENTAL CARE OF NIXA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R. KOFRON D.D.S. (OWNER)
(417) 725-9108
Entity
Organization
Contact information
Practice address
600 MCCROSKEY ST, NIXA, MO 65714-9408
(417) 725-3108
(417) 725-2918
Mailing address
600 MCCROSKEY ST, NIXA, MO 65714-9408
(417) 725-3108
(417) 725-2918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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