Individual
KELLY JOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2475 BROADWAY BLUFFS DR, COLUMBIA, MO 65201-8148
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2013016355
MO
Other
Enumeration date
06/24/2013
Last updated
12/09/2021
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