Team Dental Inc | |
2710 S Pitcher Ave Joplin MO 64804-1643 | |
(417) 626-8326 | |
(417) 553-7896 |
Full Name | Team Dental Inc |
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Speciality | Dentist - General Practice |
Location | 2710 S Pitcher Ave, Joplin, Missouri |
Authorized Official Name and Position | Ricardo Lemus (DENTIST) |
Authorized Official Contact | 4176268326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Team Dental Inc 2710 S Pitcher Ave Joplin MO 64804-1643 Ph: (417) 626-8326 | Team Dental Inc 2710 S Pitcher Ave Joplin MO 64804-1643 Ph: (417) 626-8326 |
NPI Number | 1447794193 |
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Provider Enumeration Date | 12/15/2016 |
Last Update Date | 12/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447794193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2014018841 (Missouri) | Primary |
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