Individual
DR. JOSEPH RICHARD KOFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 MCCROSKEY ST, NIXA, MO 65714
(417) 725-3108
(417) 725-2918
Mailing address
PO BOX 899, NIXA, MO 65714
(417) 725-3108
(417) 725-2918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015493
MO
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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