Organization
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Active
Other names
Kahoka Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GRIMM (EXECUTIVE DIRECTOR)
(660) 627-5757
Entity
Organization
Contact information
Practice address
22291 US HIGHWAY 136, KAHOKA, MO 63445
(660) 727-1500
(660) 727-1502
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2007014537
MO
Other
Enumeration date
09/26/2011
Last updated
01/17/2022
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