| Shouman And Tegerdine Dentistry Llc | |
|
2216 Forum Blvd Ste 104 Columbia MO 65203-5409 | |
| (573) 449-0096 | |
| (573) 449-0099 |
| Full Name | Shouman And Tegerdine Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2216 Forum Blvd Ste 104, Columbia, Missouri |
| Authorized Official Name and Position | Ramsey O Shouman (MEMBER) |
| Authorized Official Contact | 5734490096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shouman And Tegerdine Dentistry Llc 2216 Forum Blvd Ste 104 Columbia MO 65203-5409 Ph: (573) 449-0096 | Shouman And Tegerdine Dentistry Llc 2216 Forum Blvd Ste 104 Columbia MO 65203-5409 Ph: (573) 449-0096 |
| NPI Number | 1194455691 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194455691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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