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14377 Woodlake Dr Ste 115 Chesterfield MO 63017-5735 | |
| (314) 469-6300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14377 Woodlake Dr, Chesterfield, Missouri |
| Authorized Official Name and Position | David Guilbeault (OWNER) |
| Authorized Official Contact | 6182482038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1922 Edwardsville Club Plaza Ct Edwardsville IL 62025-3717 Ph: () - | 14377 Woodlake Dr Ste 115 Chesterfield MO 63017-5735 Ph: (314) 469-6300 |
| NPI Number | 1639433626 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 04/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639433626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2000174030 (Missouri) | Primary |
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