Organization
RESSEL FAMILY DENTISTRY LLC
Active
Other names
Bohon and Ressel Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT RESSEL DDS (OWNER DENTIST)
(573) 449-5149
Entity
Organization
Contact information
Practice address
1 E BROADWAY STE A, COLUMBIA, MO 65203-4205
(573) 449-5968
(573) 449-5149
Mailing address
1 E BROADWAY STE A, COLUMBIA, MO 65203-4205
(573) 449-5968
(573) 449-5149
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942650544
PROVIDER NPI
—
Enumeration date
10/16/2020
Last updated
10/16/2020
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