Individual
ERIC EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15817 FOUNTAIN PLAZA DR, CHESTERFIELD, MO 63017-7468
(636) 220-1104
Mailing address
2476 GEORGETOWN CIR, AURORA, IL 60503-6718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032714
IL
122300000X
Dentist
Primary
2023014638
MO
Other
Enumeration date
06/25/2020
Last updated
04/11/2024
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