Individual
DR. L MARILYN WEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3394 MCKELVEY ROAD, SUITE 115, BRIDGETON, MO 63044
(314) 344-1106
(314) 344-1177
Mailing address
324 S NEW BALLAS ROAD, ST LOUIS, MO 63141
(314) 344-1106
(314) 344-1177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14012
MO
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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