| Francis J. Otradovec, Dds Pc | |
|
201 W Broadway Bld 5 Columbia MO 65203-3842 | |
| (573) 443-0593 | |
| (573) 443-3156 |
| Full Name | Francis J. Otradovec, Dds Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 201 W Broadway, Columbia, Missouri |
| Authorized Official Name and Position | Francis J. Otradovec (PRESIDENT) |
| Authorized Official Contact | 5734430593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Francis J. Otradovec, Dds Pc 201 W Broadway Bld 5 Columbia MO 65203-3842 Ph: (573) 443-0593 | Francis J. Otradovec, Dds Pc 201 W Broadway Bld 5 Columbia MO 65203-3842 Ph: (573) 443-0593 |
| NPI Number | 1124322581 |
|---|---|
| Provider Enumeration Date | 12/28/2010 |
| Last Update Date | 12/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124322581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 011967 (Missouri) | Primary |
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