Organization
COYLE STINE AND ASSOCIATES LLC
Active
Other names
Sedalia Dentistry for Children
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN BURRIS (PRACTICE MANAGER)
(573) 874-1990
Entity
Organization
Contact information
Practice address
991 WINCHESTER DR STE 4, SEDALIA, MO 65301-2575
(660) 650-5005
Mailing address
1000 W NIFONG BLVD STE 6-130, COLUMBIA, MO 65203-5607
(573) 874-1990
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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