Organization
SERENITY SMILES FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DERDEUFF D.D.S. (OWNER/DENTIST)
(573) 356-4029
Entity
Organization
Contact information
Practice address
2401 BERNADETTE DR, STE 217, COLUMBIA, MO 65203-4672
(573) 445-1100
Mailing address
1700 SKYLANE DR, COLUMBIA, MO 65202-1709
(573) 445-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2012015356
MO
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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