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Organization
SARAH PUZEY LLC
Active
Organization
SARAH PUZEY LLC
Active
Other names
Periodontics of O'Fallon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH CHRISTINA NORTHCOTT DMD, MS (OWNER/PERIODONTIST)
(636) 379-6905
Entity
Organization
Contact information
Practice address
2934 HIGHWAY K, O FALLON, MO 63368-7861
(636) 379-6905
(636) 272-6131
Mailing address
2934 HIGHWAY K, O FALLON, MO 63368-7861
(636) 379-6905
(636) 272-6131
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2007000508
MO
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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