COLUMBIA ORAL & MAXILLOFACIAL SURGERY LLC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1770591752- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1000 W NIFONG BLVD BLDG 4 STE 100, COLUMBIA, MO, 652035661
- Phone
- (573) 443-0466
- Fax
- (573) 442-5417
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: MO