Serenity Smiles Family Dentistry, LLC

NPI #1891133583 in Columbia, Missouri

Provider Information

NPI Number: 1891133583
Entity Type: Organization
Organization Name: Serenity Smiles Family Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 5, 2013
Last Updated: Jun 5, 2013

Practice Location

Address: 2401 BERNADETTE DR
Address 2: STE 217
City: Columbia
State: Missouri
ZIP Code: 65203-4672
Phone: (573) 445-1100

Authorized Official

Name: DANA DERDEUFF, D.D.S.
Title: OWNER/DENTIST
Phone: (573) 356-4029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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