| Columbia Surgical Prosthodontics Llc | |
|
900 Rain Forest Pkwy Ste A Columbia MO 65202-3941 | |
| (573) 443-8100 | |
| Not Available |
| Full Name | Columbia Surgical Prosthodontics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 900 Rain Forest Pkwy Ste A, Columbia, Missouri |
| Authorized Official Name and Position | Venkata Guvva (OWNER) |
| Authorized Official Contact | 4198197450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Surgical Prosthodontics Llc 19301 E Us Highway 40 Ste A Independence MO 64055-5572 Ph: (816) 886-5899 | Columbia Surgical Prosthodontics Llc 900 Rain Forest Pkwy Ste A Columbia MO 65202-3941 Ph: (573) 443-8100 |
| NPI Number | 1629896758 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629896758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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