BRICK CITY DENTAL LLC

MEXICO, MO
NPI1184389603
Entity TypeOrganization
Authorized ContactCHRISTOPHER KOLLATH
Owner Dentist
954-790-4438
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-11-01
Last Update Date2021-11-01
Business Address
BRICK CITY DENTAL LLC
3612 S CLARK ST
MEXICO, MO 65265-4104
Phone number: 573-581-4352
Mailing Address
BRICK CITY DENTAL LLC
3612 S CLARK ST
MEXICO, MO 65265-4104
Phone number: 573-581-4352
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