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Organization

PRYOR FAMILY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARREN PRYOR (BUSINESS MGR)
(573) 323-4287
Entity
Organization

Contact information

Practice address
511 W ELSIE ST, VAN BUREN, MO 63965
(573) 323-4287
(573) 323-8120
Mailing address
PO BOX 339, VAN BUREN, MO 63965-0339
(573) 323-4287
(573) 323-8120

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/22/2016
Last updated
07/28/2016
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