Organization
HARL FAMILY DENTISTRY
Active
Other names
Mike Minten DDS General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JAY HARL DDS (OWNING DENTIST)
(573) 443-5195
Entity
Organization
Contact information
Practice address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 443-5195
Mailing address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 443-5195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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