INNOVATIVE DENTAL
Preferred Provider Organization · SPRINGFIELD, MO
Organization Active NPI 1043622368
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | ✓ | 2011016216 | MO |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.