Rolla Family Dentistry Inc | |
1701 E 10th St Rolla MO 65401-4601 | |
(573) 364-1599 | |
Not Available |
Full Name | Rolla Family Dentistry Inc |
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Speciality | Dentist - General Practice |
Location | 1701 E 10th St, Rolla, Missouri |
Authorized Official Name and Position | Jeremy Kiersz (OWNER/PRESIDENT) |
Authorized Official Contact | 5733641599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rolla Family Dentistry Inc 1701 E 10th St Rolla MO 65401-4601 Ph: () - | Rolla Family Dentistry Inc 1701 E 10th St Rolla MO 65401-4601 Ph: (573) 364-1599 |
NPI Number | 1154725745 |
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Provider Enumeration Date | 10/10/2014 |
Last Update Date | 10/10/2014 |
Identifier | Type | State | Issuer |
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1154725745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 015882 (Missouri) | Primary |
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