Organization
CHERRY HILL DENTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY VIRGINIA GADBOIS DDS (OWNER/DENTIST)
(573) 446-0880
Entity
Organization
Contact information
Practice address
923 S COUNTRY CLUB DR, JEFFERSON CITY, MO 65109-0352
(573) 556-8500
Mailing address
220 DIEGO DR STE 201, COLUMBIA, MO 65203-4923
(573) 356-9967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2000158124
MO
332BC3200X
Customized Equipment (DME)
2000158124
MO
Other
Enumeration date
10/24/2016
Last updated
09/03/2024
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