| Rangitsch Dmd Llc | |
|
3101 Oak Grove Rd Poplar Bluff MO 63901-8944 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Rangitsch Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3101 Oak Grove Rd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Clayton D Rangitsch (OWNER) |
| Authorized Official Contact | 6189939092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rangitsch Dmd Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Rangitsch Dmd Llc 3101 Oak Grove Rd Poplar Bluff MO 63901-8944 Ph: (315) 454-6000 |
| NPI Number | 1114405321 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114405321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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