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111 N Highway 67 St Florissant MO 63031-5901 | |
(636) 362-4986 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 111 N Highway 67 St, Florissant, Missouri |
Authorized Official Name and Position | Ashly Kristine Sunshine (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3144132803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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111 N Highway 67 St Florissant MO 63031-5901 Ph: () - | 111 N Highway 67 St Florissant MO 63031-5901 Ph: (636) 362-4986 |
NPI Number | 1114503067 |
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Provider Enumeration Date | 03/22/2021 |
Last Update Date | 06/28/2023 |
Identifier | Type | State | Issuer |
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1114503067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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