is a Dentist in Columbia, Missouri. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1679783591. The last update date is .
's current location address is 2012 Cherry Hill Dr, Columbia, Missouri. You can contact this provider via phone number 5734460880 and fax number 5734473121. The mailing address for is 2012 Cherry Hill Dr, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2012 Cherry Hill Dr, Columbia, Missouri |
| Phone Number | 5734460880 |
| Fax Number | 5734473121 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679783591 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2012 Cherry Hill Dr |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652035882 |
| Phone Number | 5734460880 |
| Fax Number | 5734473121 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2000158124 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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