Sohdental | |
810 O'fallon Rd Weldon Springs MO 63304-6330 | |
(636) 244-4052 | |
Not Available |
Full Name | Sohdental |
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Speciality | Dentist |
Location | 810 O'fallon Rd, Weldon Springs, 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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Sohdental 1422 Elbridge Payne Rd, Ste 240 Chesterfield MO 63017 Ph: () - | Sohdental 810 O'fallon Rd Weldon Springs MO 63304-6330 Ph: (636) 244-4052 |
NPI Number | 1427550078 |
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Provider Enumeration Date | 02/28/2018 |
Last Update Date | 08/11/2023 |
Identifier | Type | State | Issuer |
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1427550078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 2000164557 (Missouri) | Primary |