| Bruce E Ringdahl Llc | |
|
201 W Broadway Columbia MO 65203-3842 | |
| (573) 443-1618 | |
| Not Available |
| Full Name | Bruce E Ringdahl Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 201 W Broadway, Columbia, Missouri |
| Authorized Official Name and Position | Bruce Ringdahl (PRESIDENT) |
| Authorized Official Contact | 5734431618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce E Ringdahl Llc 201 W Broadway Columbia MO 65203-3842 Ph: () - | Bruce E Ringdahl Llc 201 W Broadway Columbia MO 65203-3842 Ph: (573) 443-1618 |
| NPI Number | 1407967003 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407967003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 015061 (Missouri) | Primary |
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