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2690 Gravois Rd High Ridge MO 63049-2508 | |
| (636) 692-5803 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2690 Gravois Rd, High Ridge, Missouri |
| Authorized Official Name and Position | Diane Elizabeth Vasquez (GENERAL DENTIST) |
| Authorized Official Contact | 2139151661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1635 Clayton Spur Ct Ellisville MO 63011-2012 Ph: (213) 915-1661 | 2690 Gravois Rd High Ridge MO 63049-2508 Ph: (636) 692-5803 |
| NPI Number | 1801390406 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801390406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 2018002617 (Missouri) | Secondary |
Sleep Well Stl Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2690 Gravois Rd, High Ridge, MO 63049 Phone: 314-401-1878 | |
Frederick H. Fischer, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2817 High Ridge Blvd., High Ridge, MO 63049 Phone: 636-677-5663 |