| Brookside Family Dentistry | |
|
31 Ofallon Sq O Fallon MO 63366-3034 | |
| (636) 240-1750 | |
| (636) 389-5442 |
| Full Name | Brookside Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 31 Ofallon Sq, O Fallon, Missouri |
| Authorized Official Name and Position | Stacy M Martin (OFFICE MANAGER) |
| Authorized Official Contact | 6362401750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Family Dentistry 31 Ofallon Sq O Fallon MO 63366-3034 Ph: (636) 240-1750 | Brookside Family Dentistry 31 Ofallon Sq O Fallon MO 63366-3034 Ph: (636) 240-1750 |
| NPI Number | 1790276764 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790276764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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River City Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, O Fallon, MO 63366 Phone: 636-362-4040 Fax: 636-362-4141 | |
Dr. Maryana Kirolos Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Elm St, O Fallon, MO 63366 Phone: 636-240-6858 Fax: 636-272-4278 | |
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