Organization
BRUCE E RINGDAHL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE RINGDAHL (PRESIDENT)
(573) 443-1618
Entity
Organization
Contact information
Practice address
201 W BROADWAY, COLUMBIA, MO 65203-3842
(573) 443-1618
Mailing address
201 W BROADWAY, COLUMBIA, MO 65203-3842
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015061
MO
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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