Individual
RYAN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2910 TRIMBLE RD STE 109, COLUMBIA, MO 65201-7126
(573) 303-5956
Mailing address
2910 TRIMBLE RD STE 109, COLUMBIA, MO 65201-7126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026030534
MO
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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