Raya, Kristal Deann

Raya, Kristal Deann is an individual health care provider with primary practice located at 303 N Keene St Ste 202 , Columbia MO 65201-8052. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Raya, Kristal Deann can be contacted via phone (844) 853-8937.

Contact Information

Primary practice address
303 N Keene St Ste 202 Columbia MO 65201-8052
Phone: (844) 853-8937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2020004207 Missouri

Profile Details

NPI number 1972005262
LBN Legal business name Raya, Kristal Deann
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2018
Last updated Sep 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972005262 NPPES
Missouri MEDICAID 400084034

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