| Como Pediatric Dentistry Llc | |
|
1316 Old 63 S Ste 201 Columbia MO 65201-6092 | |
| (573) 443-2544 | |
| Not Available |
| Full Name | Como Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1316 Old 63 S Ste 201, Columbia, Missouri |
| Authorized Official Name and Position | Christina L Gardner (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 5734432544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Como Pediatric Dentistry Llc 1316 Old 63 S Ste 201 Columbia MO 65201-6092 Ph: (573) 443-2544 | Como Pediatric Dentistry Llc 1316 Old 63 S Ste 201 Columbia MO 65201-6092 Ph: (573) 443-2544 |
| NPI Number | 1437668126 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437668126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2015018293 (Missouri) | Primary |
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