| NPI | 1790198422 |
|---|---|
| Doing Business As | COLUMBIA HEALTHY SMILES |
| Entity Type | Organization |
| Authorized Contact | PHILIP A. BATSON Shareholder/Dentist 573-875-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2014016764) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |