DR. Gregory L Stine JR., DDS

NPI #1578729133 in Columbia, Missouri

Provider Information

NPI Number
1578729133
Entity Type
Individual
Name
DR. Gregory L Stine JR., DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Aug 4, 2008
Last Updated
Aug 4, 2008

Practice Location

Address
1000 W NIFONG BLVD
Address 2
BUILDING 6, SUITE 130
ZIP Code
65203-5615
Phone
(573) 874-1990

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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