Organization
DENTAL ARTS GROUP L.L.C
Active
Parent organization
DENTAL ARTS GROUP L.L.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL ARTS GROUP L.L.C
Authorized official
JOHN R BLAICH (DENTIST)
(573) 785-0111
Entity
Organization
Contact information
Practice address
2700 KANELL BLVD, POPLAR BLUFF, MO 63901-3041
(573) 785-0111
Mailing address
2700 KANELL BLVD, POPLAR BLUFF, MO 63901-3041
(573) 785-0111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
01/27/2020
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