Organization
FRANKLIN COUNTY DENTAL NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ANDREW ROEBACK MA, NCC, LPC (TREASURER)
(636) 239-1717
Entity
Organization
Contact information
Practice address
851 E 5TH ST, SUITE 131, WASHINGTON, MO 63090-3135
(636) 239-8397
(636) 390-7379
Mailing address
104 S MCKINLEY AVE, SUITE E, UNION, MO 63084-1800
(636) 239-8397
(363) 390-7379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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