Individual
DR. BRIAN D VIERTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 SOUTH MAIN, GRANT CITY, MO 64456
(660) 564-2102
(660) 564-3656
Mailing address
2408 SOUTH MAIN, SUITE B, MARYVILLE, MO 64468
(660) 582-2273
(660) 582-4505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2002011137
MO
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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