| NPI | 1053608901 |
|---|---|
| Doing Business As | THE COLONIES DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ERIC ROGER BOYD President 573-446-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2009028398) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |