Individual
DR. GREGORY L STINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 W NIFONG BLVD, BUILDING 6, SUITE 130, COLUMBIA, MO 65203-5615
(573) 874-1990
(573) 874-1923
Mailing address
1000 W NIFONG BLVD, BUILDING 6, SUITE 130, COLUMBIA, MO 65203-5615
(573) 874-1990
(573) 874-1923
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
016119
MO
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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