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Organization

THE DENTAL SPECIALTY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY SOOTER (OFFICE MANAGER)
(573) 817-2222
Entity
Organization

Contact information

Practice address
303 N KEENE ST STE 210, COLUMBIA, MO 65201-7193
(573) 817-2277
(573) 817-2888
Mailing address
303 N KEENE ST STE 210, COLUMBIA, MO 65201-7193
(573) 817-2277
(573) 817-2888

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12790
MO

Other

Enumeration date
09/15/2008
Last updated
09/15/2008
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