Individual
DR. COLIN TEGERDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2216 FORUM BLVD STE 104, COLUMBIA, MO 65203-5409
(573) 449-0096
Mailing address
2216 FORUM BLVD STE 104, COLUMBIA, MO 65203-5409
(573) 449-0096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016016882
MO
Other
Enumeration date
05/26/2016
Last updated
06/02/2016
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