Organization
MICHAEL S. TODD D.M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KERRI L SMITH (OFFICE MANAGER)
(573) 814-1694
Entity
Organization
Contact information
Practice address
1500 VANDIVER DR, SUITE 104, COLUMBIA, MO 65202-3932
(573) 814-1694
(573) 814-2845
Mailing address
1500 VANDIVER DR, SUITE 104, COLUMBIA, MO 65202-3932
(573) 814-1694
(573) 814-2845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015815
MO
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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