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Individual

MR. MICHAEL JAMES FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS PC

Contact information

Practice address
205 N COMMERCIAL ST, STE 3, SEYMOUR, MO 65746
(417) 935-2141
(417) 935-9991
Mailing address
PO BOX 233, 205 N COMMERCIAL STE 3, SEYMOUR, MO 65746
(417) 935-2141
(417) 935-9991

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014156
MO

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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