Individual
KAYLA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1101 CLUB VILLAGE DR STE 106, COLUMBIA, MO 65203-4410
(573) 874-8744
Mailing address
1101 CLUB VILLAGE DR STE 106, COLUMBIA, MO 65203-4410
(573) 874-8744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020023355
MO
Other
Enumeration date
06/24/2020
Last updated
11/13/2025
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