Individual
LAURA NEKKANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1101 N PROVIDENCE RD, COLUMBIA, MO 65203-4365
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2009013821
MO
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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