Core Family Dentistry Llc | |
1217 E Main St Linn MO 65051-9634 | |
(573) 897-2388 | |
Not Available |
Full Name | Core Family Dentistry Llc |
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Speciality | Dentist - General Practice |
Location | 1217 E Main St, Linn, Missouri |
Authorized Official Name and Position | Corey Mack (OWNER) |
Authorized Official Contact | 6202400565 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Core Family Dentistry Llc 1217 E Main St Linn MO 65051-9634 Ph: (573) 897-2388 | Core Family Dentistry Llc 1217 E Main St Linn MO 65051-9634 Ph: (573) 897-2388 |
NPI Number | 1245765759 |
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Provider Enumeration Date | 04/23/2017 |
Last Update Date | 04/23/2017 |
Identifier | Type | State | Issuer |
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1245765759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2006016427 (Missouri) | Primary |