Organization
COMO PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA L GARDNER DDS (OWNER/PEDIATRIC DENTIST)
(573) 443-2544
Entity
Organization
Contact information
Practice address
1316 OLD 63 S STE 201, COLUMBIA, MO 65201-6092
(573) 443-2544
Mailing address
1316 OLD 63 S STE 201, COLUMBIA, MO 65201-6092
(573) 443-2544
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2015018293
MO
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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