Organization
COLUMBIA DENTAL CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRADFORD RODENBERG (PRESIDENT)
(618) 281-7137
Entity
Organization
Contact information
Practice address
106 EDELWEISS DR, COLUMBIA, IL 62236-2508
(618) 281-7137
(618) 281-7140
Mailing address
106 EDELWEISS DR, COLUMBIA, IL 62236-2508
(618) 281-7137
(618) 281-7140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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