Individual
DR. KYLE M SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2601 RANGE LINE ST STE 111, COLUMBIA, MO 65202
(573) 355-5870
(573) 355-5887
Mailing address
2601 RANGE LINE ST STE 111, COLUMBIA, MO 65202-1618
(573) 355-5870
(573) 355-5887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011016320
MO
Other
Enumeration date
04/07/2011
Last updated
10/04/2019
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