Individual
DR. MICHAEL SEAN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1500 VANDIVER, SUITE 104, COLUMBIA, MO 65202
(573) 814-1694
(573) 814-2845
Mailing address
1500 VANDIVER, SUITE 104, COLUMBIA, MO 65202
(573) 814-1694
(573) 814-2845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015815
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431734574
COMPANY TAX ID
MO
Enumeration date
06/01/2005
Last updated
09/30/2008
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