| Paul N Cardon Dds Llc | |
|
757 W Stadium Blvd Ste B Jefferson City MO 65109-4786 | |
| (573) 636-5522 | |
| (573) 636-3328 |
| Full Name | Paul N Cardon Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 757 W Stadium Blvd Ste B, Jefferson City, Missouri |
| Authorized Official Name and Position | Paul Nolan Cardon (OWNER) |
| Authorized Official Contact | 5736365522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul N Cardon Dds Llc 757 W Stadium Blvd Ste B Jefferson City MO 65109-4786 Ph: (573) 636-5522 | Paul N Cardon Dds Llc 757 W Stadium Blvd Ste B Jefferson City MO 65109-4786 Ph: (573) 636-5522 |
| NPI Number | 1184324873 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184324873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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