Organization
SARAH PUZEY LLC
Active
Other names
Periodontics of O'Fallon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH CHRISTINA NORTHCOTT DMD, MS (OWNER/PERIODONTIST)
(636) 379-6905
Entity
Organization
Contact information
Practice address
2934 HIGHWAY K, O FALLON, MO 63368-7861
(636) 379-6905
(636) 272-6131
Mailing address
2934 HIGHWAY K, O FALLON, MO 63368-7861
(636) 379-6905
(636) 272-6131
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2007000508
MO
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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