Individual
MICHELLE MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1506 CHAPEL HILL RD. STE B, COLUMBIA, MO 65203
(573) 446-6868
(573) 446-5588
Mailing address
1506 CHAPEL HILL RD. STE B, COLUMBIA, MO 65203
(573) 446-6868
(573) 446-5588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014016649
MO
Other
Enumeration date
06/05/2014
Last updated
10/27/2021
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