Individual
KATHRYN NICOLE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10733 CHARRETTE DR, SAINT LOUIS, MO 63123-3914
(314) 691-2874
Mailing address
10733 CHARRETTE DR, SAINT LOUIS, MO 63123-3914
(314) 691-2874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016023420
MO
Other
Enumeration date
04/29/2016
Last updated
08/07/2016
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