Individual
DR. MALCOLM YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3310 BLUFF CREEK DR STE 103, COLUMBIA, MO 65201-3582
(573) 258-8180
Mailing address
3310 BLUFF CREEK DR STE 103, COLUMBIA, MO 65201-3582
(573) 258-8180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2023042941
MO
122300000X
Dentist
7477
LA
Other
Enumeration date
03/06/2023
Last updated
02/03/2025
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