| David L. Detar, Dds, Pc | |
|
3115 Arizona Ave Joplin MO 64804-3125 | |
| (417) 781-8240 | |
| Not Available |
| Full Name | David L. Detar, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3115 Arizona Ave, Joplin, Missouri |
| Authorized Official Name and Position | David Lawrence Detar (OWNER) |
| Authorized Official Contact | 4177818240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Detar, Dds, Pc 3115 Arizona Ave Joplin MO 64804-3125 Ph: (417) 781-8240 | David L. Detar, Dds, Pc 3115 Arizona Ave Joplin MO 64804-3125 Ph: (417) 781-8240 |
| NPI Number | 1982800850 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982800850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12028 (Missouri) | Primary |
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