Organization
MISSOURI COLLEGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE GRAMLICH MAOM (CAMPUS DIRECTOR)
(314) 768-7806
Entity
Organization
Contact information
Practice address
1405 S HANLEY RD, BRENTWOOD, MO 63144-2902
(314) 768-7800
(314) 768-7900
Mailing address
1405 S HANLEY RD, BRENTWOOD, MO 63144-2902
(314) 768-7800
(314) 768-7900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
010357
MO
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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