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Organization

MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC

Active
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Other names
Distinctive Dental Solutions
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8513
Entity
Organization

Contact information

Practice address
1316 EAST INDEPENDENCE ST, SPRINGFIELD, IL 65804
(417) 889-0700
(417) 882-0706
Mailing address
1316 EAST INDEPENDENCE ST, SPRINGFIELD, MO 65804
(417) 889-0700
(417) 882-0706

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/27/2007
Last updated
04/25/2018
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