Individual
ABIGAIL GRACE FINCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
(417) 868-8263
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
(417) 868-8263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019021889
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019021889
MISSOURI PROFESSIONAL LICENSE
MO
Enumeration date
07/01/2019
Last updated
07/01/2019
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