Individual
TANISHA ARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
303 N KEENE ST STE 202, COLUMBIA, MO 65201-8052
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023021428
MO
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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