Organization
COLUMBIA SURGICAL PROSTHODONTICS LLC
Active
Other names
Vanderveen Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA GUVVA DDS (OWNER)
(419) 819-7450
Entity
Organization
Contact information
Practice address
900 RAIN FOREST PKWY STE A, COLUMBIA, MO 65202-3941
(573) 443-8100
Mailing address
19301 E US HIGHWAY 40 STE A, INDEPENDENCE, MO 64055-5572
(816) 886-5899
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
10/11/2024
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