Individual
DR. ANNA NINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1112 BAXTER ST, NEOSHO, MO 64850-7814
(417) 451-2403
(417) 451-2200
Mailing address
1112 BAXTER ST, NEOSHO, MO 64850-7814
(417) 451-2403
(417) 451-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016020953
MO
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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