Columbia Dental Care Ltd | |
106 Edelweiss Dr Columbia IL 62236-2508 | |
(618) 281-7137 | |
(618) 281-7140 |
Full Name | Columbia Dental Care Ltd |
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Speciality | Dentist - General Practice |
Location | 106 Edelweiss Dr, Columbia, Illinois |
Authorized Official Name and Position | David Bradford Rodenberg (PRESIDENT) |
Authorized Official Contact | 6182817137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Columbia Dental Care Ltd 106 Edelweiss Dr Columbia IL 62236-2508 Ph: (618) 281-7137 | Columbia Dental Care Ltd 106 Edelweiss Dr Columbia IL 62236-2508 Ph: (618) 281-7137 |
NPI Number | 1518000892 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518000892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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