Matchstick LLC

NPI #1982918884 in Columbia, Missouri

Provider Information

NPI Number: 1982918884
Entity Type: Organization
Organization Name: Matchstick LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 3, 2010
Last Updated: Aug 3, 2010

Practice Location

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

Authorized Official

Name: DR. MARY VIRGINIA GADBOIS, DDS
Title: CHIEF FINANCIAL OFFICER
Phone: (573) 446-0880

Specialties & Taxonomy Codes

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

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