Organization
CLEAR CREEK FAMILY DENTAL
Active
Parent organization
CLEAR CREEK FAMILY DENTAL
Other names
Clear Creek Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEAR CREEK FAMILY DENTAL
Authorized official
BRIANNA ROSE NICHOLS (OFFICE MANAGER)
(417) 350-6045
Entity
Organization
Contact information
Practice address
101 S STATE HIGHWAY 125 STE A, STRAFFORD, MO 65757-8998
(417) 631-4490
(417) 736-9250
Mailing address
101 S STATE HIGHWAY 125 STE A, STRAFFORD, MO 65757-8998
(417) 631-4490
(417) 736-9250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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