Missouri College, Inc. | |
1405 S Hanley Rd Brentwood MO 63144-2902 | |
(314) 768-7800 | |
(314) 768-7900 |
Full Name | Missouri College, Inc. |
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Speciality | Clinic/center - Dental |
Location | 1405 S Hanley Rd, Brentwood, Missouri |
Authorized Official Name and Position | Nicole Gramlich (CAMPUS DIRECTOR) |
Authorized Official Contact | 3147687806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Missouri College, Inc. 1405 S Hanley Rd Brentwood MO 63144-2902 Ph: (314) 768-7800 | Missouri College, Inc. 1405 S Hanley Rd Brentwood MO 63144-2902 Ph: (314) 768-7800 |
NPI Number | 1639436181 |
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Provider Enumeration Date | 04/20/2012 |
Last Update Date | 04/20/2012 |
Identifier | Type | State | Issuer |
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1639436181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 010357 (Missouri) | Primary |
Doherty Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8824 Litzsinger Rd, Brentwood, MO 63144 Phone: 314-961-3221 Fax: 314-961-7477 |