Mid-Missouri Institute of Dental Sleep Medicine LLC

NPI #1871900977 in Columbia, Missouri

Provider Information

NPI Number: 1871900977
Entity Type: Organization
Organization Name: Mid-Missouri Institute of Dental Sleep Medicine LLC
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2014
Last Updated: Mar 21, 2022

Practice Location

Address: 1505 CHAPEL HILL RD
Address 2: SUITE 203
City: Columbia
State: Missouri
ZIP Code: 65203-5506
Phone: (573) 303-5501

Authorized Official

Name: RICHARD S BOHON, DDS
Title: OWNER/DDS
Phone: (309) 282-8565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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