Individual
DR. GYULA TAKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
833 HOWARD DR, LEBANON, MO 65536-4110
(417) 991-3400
(417) 991-3101
Mailing address
833 HOWARD DR, LEBANON, MO 65536-4110
(417) 991-3400
(417) 991-3101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007025037
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007025037
STATE LICENSE
MO
Enumeration date
01/25/2006
Last updated
11/26/2019
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