Individual
CONNER A PAUSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
516 W MCCORD ST, NEOSHO, MO 64850-1424
(417) 451-0977
(417) 451-7094
Mailing address
PO BOX 758, NEOSHO, MO 64850-0758
(417) 451-9450
(417) 451-8903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
MO
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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