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Brick City Dental Llc
Dental Clinic/Center in Mexico, Missouri
NPI 1184389603

Brick City Dental Llc is a Dental Clinic/Center based in Mexico, MO and is specialized in Dental. Brick City Dental Llc practices in Mexico, MO. The NPI Number for Brick City Dental Llc is 1184389603 and holds a License No. (Missouri).

The current practice location address for Brick City Dental Llc is 3612 S Clark St, Mexico, MO and can be reached out via phone at 573-581-4352.

Location: 3612 S Clark St, Mexico, MO, 65265-4104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184389603
Provider Name
Brick City Dental Llc
Credential
Provider Entity Type
Organization
Address
3612 S Clark St, Mexico, MO, 65265-4104
Phone Number
573-581-4352
Fax Number
Provider Enumeration Date
11/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3612 S Clark St
City
Mexico
State
Missouri
Zip
65265-4104
Phone Number
573-581-4352
Fax Number
person
Provider Business Mailing Address Details
Address
3612 S Clark St
City
Mexico
State
Missouri
Zip
65265-4104
Phone Number
573-581-4352
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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