Organization
SHOUMAN AND TEGERDINE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMSEY O SHOUMAN DDS (MEMBER)
(573) 449-0096
Entity
Organization
Contact information
Practice address
2216 FORUM BLVD STE 104, COLUMBIA, MO 65203-5409
(573) 449-0096
(573) 449-0099
Mailing address
2216 FORUM BLVD STE 104, COLUMBIA, MO 65203-5409
(573) 449-0096
(573) 449-0099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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