Individual
KRISTAL DEANN RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
303 N KEENE ST STE 202, COLUMBIA, MO 65201-8052
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(573) 607-2885
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2020004207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400084034
—
MO
Enumeration date
03/02/2018
Last updated
09/12/2022
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