Individual
SAMANTHA MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1108 E OHIO ST, CLINTON, MO 64735-2458
(660) 885-6933
Mailing address
802 AUTUMN DR, BELTON, MO 64012-4716
(816) 679-0974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019023103
MO
Other
Enumeration date
05/28/2019
Last updated
06/26/2019
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