| New Creation Dental Care | |
|
191 Civic Center Dr Lake St Louis MO 63367-3027 | |
| (636) 561-6400 | |
| Not Available |
| Full Name | New Creation Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 191 Civic Center Dr, Lake St Louis, Missouri |
| Authorized Official Name and Position | Matthew Boscia (PRESIDENT) |
| Authorized Official Contact | 6365616400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Creation Dental Care 191 Civic Center Dr Lake St Louis MO 63367-3027 Ph: (636) 561-6400 | New Creation Dental Care 191 Civic Center Dr Lake St Louis MO 63367-3027 Ph: (636) 561-6400 |
| NPI Number | 1194322990 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194322990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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