Individual
COLIN MALAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3408 BUTTONWOOD DR, COLUMBIA, MO 65201-3718
(573) 256-7891
Mailing address
3408 BUTTONWOOD DR, COLUMBIA, MO 65201-3718
(573) 256-7891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2004007387
MO
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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