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515 Bee Creek Rd Branson MO 65616-7734 | |
| (417) 336-8478 | |
| (417) 336-2246 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 Bee Creek Rd, Branson, Missouri |
| Authorized Official Name and Position | Richard D Tallon (PRESIDENT/OWNER) |
| Authorized Official Contact | 4173368478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
515 Bee Creek Rd Branson MO 65616-7734 Ph: (417) 336-8478 | 515 Bee Creek Rd Branson MO 65616-7734 Ph: (417) 336-8478 |
| NPI Number | 1154511004 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154511004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13372 (Missouri) | Primary |
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