Most Relevant Information
Provider Data
| NPI Number: | 1003432311 |
| Provider Name: | DAVID DUMBACH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2020017366 |
Most Important Dates
| Enumeration Date: | 06/23/2020 |
| Last Updated: | 06/23/2020 |
Provider Practice Location
1081 E 18TH ST
ROLLA
MO
654012448
Practice Location Phone/Fax
| Phone: | 5734262407 |
| Fax: | 5734266723 |
Provider Mailing Location
1081 E 18TH ST
ROLLA
MO
654012448
Provider Mailing Phone/Fax
| Phone: | 5734262407 |
| Fax: | 5734266723 |