| Drs Susan Perotka Dmd And Dena Michelle Easterly Dds | |
|
3111 S Kimbrough Ave Springfield MO 65807-5011 | |
| (417) 887-5661 | |
| (417) 889-6814 |
| Full Name | Drs Susan Perotka Dmd And Dena Michelle Easterly Dds |
|---|---|
| Speciality | Dentist |
| Location | 3111 S Kimbrough Ave, Springfield, Missouri |
| Authorized Official Name and Position | Susan J Perotka (DOCTOR CO OWNER) |
| Authorized Official Contact | 4178875661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Susan Perotka Dmd And Dena Michelle Easterly Dds 3111 S Kimbrough Ave Springfield MO 65807-5011 Ph: (417) 887-5661 | Drs Susan Perotka Dmd And Dena Michelle Easterly Dds 3111 S Kimbrough Ave Springfield MO 65807-5011 Ph: (417) 887-5661 |
| NPI Number | 1932180023 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932180023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Missouri) | Primary |
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