Francis J. Otradovec, Dds Pc | |
201 W Broadway Bld 5 Columbia MO 65203-3842 | |
(573) 443-0593 | |
(573) 443-3156 |
Full Name | Francis J. Otradovec, Dds Pc |
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Speciality | Dentist - Periodontics |
Location | 201 W Broadway, Columbia, Missouri |
Authorized Official Name and Position | Francis J. Otradovec (PRESIDENT) |
Authorized Official Contact | 5734430593 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Francis J. Otradovec, Dds Pc 201 W Broadway Bld 5 Columbia MO 65203-3842 Ph: (573) 443-0593 | Francis J. Otradovec, Dds Pc 201 W Broadway Bld 5 Columbia MO 65203-3842 Ph: (573) 443-0593 |
NPI Number | 1124322581 |
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Provider Enumeration Date | 12/28/2010 |
Last Update Date | 12/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124322581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 011967 (Missouri) | Primary |
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