NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063861474 |   |   |   | JOHN WIETHOLDER DMD PC | 601 W NIFONG BLVD | COLUMBIA | MO | 652036804 |
1114087616 | ARTHUR | CLARK | K |   | 601 W NIFONG BLVD | COLUMBIA | MO | 652036804 |
1992091862 | WIETHOLDER | JOHN | LOUIS |   | 4004 PEACH CT STE A | COLUMBIA | MO | 652033800 |