Individual
MICHAEL F MENOLASCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(636) 332-6000
(636) 332-9950
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011014269
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023304284
—
MO
Enumeration date
06/24/2011
Last updated
05/15/2018
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