| Springfield Family Dental Llc | |
|
636 W Republic Rd Ste 120 Springfield MO 65807-5803 | |
| (503) 577-4178 | |
| Not Available |
| Full Name | Springfield Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 636 W Republic Rd Ste 120, Springfield, Missouri |
| Authorized Official Name and Position | Emmanuel Salar (DENTIST) |
| Authorized Official Contact | 3144008035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Family Dental Llc 1804 W Winchester St Springfield MO 65807-4430 Ph: () - | Springfield Family Dental Llc 636 W Republic Rd Ste 120 Springfield MO 65807-5803 Ph: (503) 577-4178 |
| NPI Number | 1902541972 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902541972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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