| Demko Orthodontics Llc | |
|
14377 Woodlake Dr Ste 216 Chesterfield MO 63017 | |
| (314) 576-4955 | |
| (314) 576-3811 |
| Full Name | Demko Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14377 Woodlake Dr, Chesterfield, Missouri |
| Authorized Official Name and Position | Jaqueline Anne Demko (ORTHODONTIST) |
| Authorized Official Contact | 3145764955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demko Orthodontics Llc 14377 Woodlake Drive Ste 216 Chesterfield MO 63017 Ph: (314) 576-4955 | Demko Orthodontics Llc 14377 Woodlake Dr Ste 216 Chesterfield MO 63017 Ph: (314) 576-4955 |
| NPI Number | 1356413611 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356413611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 015993 (Missouri) | Primary |
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