Organization
DENTAL PROFESSIONALS OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Forum Dental - Laurie
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
128 S MAIN ST, GRAVOIS MILLS, MO 65037-6196
(573) 374-5739
Mailing address
128 S MAIN ST, GRAVOIS MILLS, MO 65037-6196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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