Organization
COLUMBIA DENTISTRY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT COYLE DDS (OWNER)
(573) 874-1990
Entity
Organization
Contact information
Practice address
1000 W NIFONG BLVD STE 6-130, COLUMBIA, MO 65203-5607
(573) 874-1990
(573) 874-1923
Mailing address
1000 W NIFONG BLVD STE 6-130, COLUMBIA, MO 65203-5607
(573) 874-1990
(573) 874-1923
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
LC1018573
MO
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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