Individual
JONATHAN MUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3874 COLUMBIA AVE, OSAGE BEACH, MO 65065-8689
(573) 348-4623
Mailing address
3874 COLUMBIA AVE, OSAGE BEACH, MO 65065-8689
(573) 348-4623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021019171
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021019171
STATE
MO
Enumeration date
08/12/2021
Last updated
08/12/2021
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