Individual
DR. KAILEY JEAN DEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1705 E PRIMROSE ST, SPRINGFIELD, MO 65804
(417) 882-8222
Mailing address
1705 E PRIMROSE ST, SPRINGFIELD, MO 65804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024018750
MO
Other
Enumeration date
03/26/2024
Last updated
10/31/2024
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