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Tailwater Practice Partners
Dental Clinic/Center in Rolla, Missouri
NPI 1073393336

Tailwater Practice Partners is a Dental Clinic/Center based in Nashville, MO and is specialized in Dental. Tailwater Practice Partners practices in Rolla, MO. The NPI Number for Tailwater Practice Partners is 1073393336 and holds a License No. (Missouri).

The current practice location address for Tailwater Practice Partners is 1701 E 10Th St, Rolla, MO and can be reached out via phone at 573-364-1599.

Location: 1701 E 10Th St, Rolla, MO, 37215-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073393336
Provider Name
Tailwater Practice Partners
Credential
Provider Entity Type
Organization
Address
1701 E 10Th St, Rolla, MO, 37215-3004
Phone Number
573-364-1599
Fax Number
Provider Enumeration Date
10/04/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1701 E 10Th St
City
Rolla
State
Missouri
Zip
65401-4601
Phone Number
573-364-1599
Fax Number
person
Provider Business Mailing Address Details
Address
1701 E 10Th St
City
Rolla
State
Missouri
Zip
65401-4601
Phone Number
573-364-1599
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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