Individual
DR. CARISSA BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
130 HILLTOWN VILLAGE CTR, CHESTERFIELD, MO 63017-0709
(636) 532-3311
Mailing address
1387 NORWOOD HILLS DR, O FALLON, MO 63366-5561
(316) 680-9116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016016881
MO
Other
Enumeration date
06/01/2016
Last updated
06/23/2016
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