Individual
SARAH GIACOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 S 5TH ST STE 103, SAINT CHARLES, MO 63303-4127
(636) 493-6494
Mailing address
1520 S 5TH ST STE 103, SAINT CHARLES, MO 63303-4127
(636) 493-6494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020024011
MO
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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