Organization
WALTER R. PFITZINGER D.D.S,, P.C.
Active
Other names
Mid Missouri Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. 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
1223P0221X
Pediatric Dentistry
Primary
010435
MO
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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