is a Dental in Florissant, Missouri. practices all healthcare services and medical treatments related to Dental. The NPI Number for is 1285843763. The last update date is .
's current location address is 11642 W Florissant Ave, Florissant, Missouri. You can contact this provider via phone number 3148388220 and fax number 3148388091. The mailing address for is 11642 W Florissant Ave, Florissant, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11642 W Florissant Ave, Florissant, Missouri |
| Phone Number | 3148388220 |
| Fax Number | 3148388091 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285843763 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11642 W Florissant Ave |
|---|---|
| City | Florissant |
| State | Missouri (MO) |
| Post Code | 630336723 |
| Phone Number | 3148388220 |
| Fax Number | 3148388091 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
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Definition: Provides general and specialized dental care and oral surgery. |
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