Dynasty Dental Llc | |
810 Ofallon Rd Ste 70 Weldon Spring MO 63304-8102 | |
(636) 699-9815 | |
Not Available |
Full Name | Dynasty Dental Llc |
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Speciality | Dentist - General Practice |
Location | 810 Ofallon Rd, Weldon Spring, Missouri |
Authorized Official Name and Position | Elizabeth J Burns (OWNER) |
Authorized Official Contact | 3144947967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dynasty Dental Llc 810 Ofallon Rd St E 70 Weldon Spring MO 63304-8102 Ph: () - | Dynasty Dental Llc 810 Ofallon Rd Ste 70 Weldon Spring MO 63304-8102 Ph: (636) 699-9815 |
NPI Number | 1598016008 |
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Provider Enumeration Date | 09/24/2012 |
Last Update Date | 09/24/2012 |
Identifier | Type | State | Issuer |
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1598016008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 15228 (Missouri) | Primary |
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