Most Relevant Information
Provider Data
| NPI Number: | 1003099482 |
| Provider Name: | WILLIAM BERNARD MOORKAMP D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 14121 |
Most Important Dates
| Enumeration Date: | 12/09/2007 |
| Last Updated: | 12/09/2007 |
Provider Practice Location
912 N CEDAR ST
ROLLA
MO
654013350
Practice Location Phone/Fax
| Phone: | 5733641345 |
| Fax: | 5733644764 |
Provider Mailing Location
912 N CEDAR ST
ROLLA
MO
654013350
Provider Mailing Phone/Fax
| Phone: | 5733641345 |
| Fax: | 5733644764 |