Organization
DENTAL 32, L.L.C.
Active
Other names
Dental 32
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY DAWN MEYER D.D.S. (DENTIST)
(417) 881-3200
Entity
Organization
Contact information
Practice address
2142 S BRENTWOOD BLVD, SPRINGFIELD, MO 65804-2539
(417) 881-3200
Mailing address
2142 S BRENTWOOD BLVD, SPRINGFIELD, MO 65804-2539
(417) 881-3200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2014016823
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689710873
—
MO
Enumeration date
12/05/2017
Last updated
12/05/2017
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