Organization
SCOTTKOERNER, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SCOTT KOERNER DDS (PRESIDENT)
(660) 882-7097
Entity
Organization
Contact information
Practice address
605 MAIN ST, BOONVILLE, MO 65233-1571
(660) 882-7097
Mailing address
605 MAIN ST, BOONVILLE, MO 65233-1571
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12714
MO
Other
Enumeration date
12/14/2006
Last updated
07/31/2008
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