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Individual

DEBRA SUNDERWIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL HYGIENIST

Contact information

Practice address
101 HOSPITAL DR, OSCEOLA, MO 64776-9547
(417) 646-2054
(417) 646-2052
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8183

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2014044096
MO

Other

Enumeration date
01/03/2017
Last updated
01/03/2017
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