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Organization
JESSICA C. NIEVA DDS P.C.
Active
Organization
JESSICA C. NIEVA DDS P.C.
Active
Other names
Fenton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA C. NIEVA DDS (DENTIST/PRESIDENT)
(636) 326-7633
Entity
Organization
Contact information
Practice address
552 OLD SMIZER MILL RD, FENTON, MO 63026-3538
(636) 326-7633
Mailing address
552 OLD SMIZER MILL RD, FENTON, MO 63026-3538
(636) 326-7633
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2002016551
MO
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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