SearchMissouri1223G0001X

Christopher Kollath, DDS

NPI 1720658826 · on the registry since 2021

Practice

Address
3612 S Clark St
Mexico, MO 65265
Phone
(573) 581-4352
Organisation at this address
Brick City Dental Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri