Individual
MICHAEL H OTRADOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1497 N HIGHWAY 5, CAMDENTON, MO 65020
(573) 346-7278
(573) 346-2176
Mailing address
PO BOX 820, CAMDENTON, MO 65020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013140
MO
Other
Enumeration date
11/28/2006
Last updated
04/24/2008
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