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Advanced Dental Care Of Joplin, INC

Dentist in Joplin, MO. Organization (NPI-2).

NPI number1699782888
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1699782888
Entity type
Organization (NPI-2)
Legal business name
Advanced Dental Care Of Joplin, INC
Organization subpart
No
Enumeration date
Aug 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2000144128MOYes

Practice location

2827 Arizona Ave
Joplin, MO 64804-3102

Phone 417-782-5005 · Fax 417-782-0175

Mailing address

2827 Arizona Ave
Joplin, MO 64804-3102

Phone 417-782-5005 · Fax 417-782-0175

Authorized official

John C Durling
Owner/Dentist
4177825005

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