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Individual

DR. JARED LOUIS ATWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1000 W NIFONG BLVD, BUILDING 4, SUITE 100, COLUMBIA, MO 65203
(573) 443-0466
(573) 442-5417
Mailing address
1000 W NIFONG BLVD, BUILDING 4, SUITE 100, COLUMBIA, MO 65203
(573) 443-0466
(573) 442-5417

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6221
OK

Other

Enumeration date
06/28/2010
Last updated
06/06/2018
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