Individual
PAUL ROBERT DELLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
KCU ORAL HEALTH CENTER, 3001 ST JOHNS BLVD, JOPLIN, MO 64804
(417) 208-0805
Mailing address
3001 SAINT JOHNS BLVD, JOPLIN, MO 64804-1884
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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