Organization
MID-MISSOURI INSTITUTE OF DENTAL SLEEP MEDICINE LLC
Active
Other names
Bohon Sleep and TMJ Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S BOHON DDS (OWNER/DDS)
(309) 282-8565
Entity
Organization
Contact information
Practice address
1505 CHAPEL HILL RD, SUITE 203, COLUMBIA, MO 65203-5506
(573) 303-5501
Mailing address
1505 CHAPEL HILL RD, SUITE 203, COLUMBIA, MO 65203-5506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
03/21/2022
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