Individual
DR. GWENDOLYN MICHELLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
660 N CREEK DR, FESTUS, MO 63028-2632
(573) 327-8010
Mailing address
65 ASHFORD PL, FESTUS, MO 63028-5606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019020731
MO
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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