Individual
DR. RICHARD STANLEY BOHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 EAST BROADWAY, COLUMBIA, MO 65203
(573) 449-5968
(573) 449-5149
Mailing address
1 EAST BROADWAY, COLUMBIA, MO 65203
(573) 449-5968
(573) 449-5149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12886
MO
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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