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Copper Creek Llc
Dental Clinic/Center in Ozark, Missouri
NPI 1104319862

Copper Creek Llc is a Dental Clinic/Center based in Webb City, MO and is specialized in Dental. Copper Creek Llc practices in Ozark, MO. The NPI Number for Copper Creek Llc is 1104319862 and holds a License No. 2015016758 (Missouri).

The current practice location address for Copper Creek Llc is 797 W South St, Ozark, MO and can be reached out via phone at 417-581-0835.

Location: 797 W South St, Ozark, MO, 64870-9214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104319862
Provider Name
Copper Creek Llc
Credential
Provider Entity Type
Organization
Address
797 W South St, Ozark, MO, 64870-9214
Phone Number
417-581-0835
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
797 W South St
City
Ozark
State
Missouri
Zip
65721-9261
Phone Number
417-581-0835
Fax Number
person
Provider Business Mailing Address Details
Address
797 W South St
City
Ozark
State
Missouri
Zip
65721-9261
Phone Number
417-581-0835
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2015016758 (Missouri)
Definition
Definition to come...
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