Individual
DR. ANTHONY DISALVO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4630
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03847
NH
Other
Enumeration date
07/11/2008
Last updated
01/23/2017
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