Individual
MRS. JAMI VANDEVORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
206 N BISMARK ST, CONCORDIA, MO 64020-8180
(660) 463-0234
Mailing address
206 N BISMARK ST, CONCORDIA, MO 64020-8180
(660) 463-0234
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2012019467
MO
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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