Organization
SUSAN E. LITTEKEN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E. LITTEKEN D.D.S. (PRESIDENT)
(636) 724-0220
Entity
Organization
Contact information
Practice address
928 FIRST CAPITOL DRIVE, ST. CHARLES, MO 63301-2734
(636) 724-0220
Mailing address
928 FIRST CAPITOL DRIVE, ST. CHARLES, MO 63301-2734
(636) 724-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN 015234
MO
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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