Organization
FITTERLING DENTISTRY, LLC
Active
Other names
Joplin Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY SOOTER (OFFICE MANAGER)
(417) 781-2900
Entity
Organization
Contact information
Practice address
4402 E 32ND ST STE B, JOPLIN, MO 64804-4453
(417) 781-2900
(417) 781-5178
Mailing address
4402 E 32ND ST STE B, JOPLIN, MO 64804-4453
(417) 781-2900
(417) 781-5178
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12915
MO
122300000X
Dentist
2010040606
MO
1223G0001X
General Practice Dentistry
Primary
11943
MO
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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