Canonical ID: us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_mo_med_exclusions | us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1 | |||
LegalEntity:description | License number: 014206 | eng | us_mo_med_exclusions | us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1 | |||
LegalEntity:id | 038ad7da3a624d6c60a65dce6df863e9958b6d53 | eng | us_mo_med_exclusions | us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1 | |||
LegalEntity:name | DAUGHERTY, DWIGHT R | eng | us_mo_med_exclusions | us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1 | |||
LegalEntity:npiCode | 1598891012 | eng | us_mo_med_exclusions | us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1 | |||
LegalEntity:sector | 40-DENTIST | eng | us_mo_med_exclusions | us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1 | |||
LegalEntity:topics | debarment | eng | us_mo_med_exclusions | us-medmo-eea42d8fe4ff6be57c0fc5ccc167096d53d44aa1 |