Organization
COLUMBIA FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARDON CREED DDS (PRESIDENT)
(918) 998-0996
Entity
Organization
Contact information
Practice address
2718 FORUM BLVD STE 1, COLUMBIA, MO 65203-5451
(573) 446-1775
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
08/27/2024
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