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Organization

SCENIC DRIVE DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOSEPH L SCHMIEDER DMD (DENTIST, OWNER)
(636) 479-5324
Entity
Organization

Contact information

Practice address
1171 SCENIC DR, HERCULANEUM, MO 63048-0337
(636) 479-5324
Mailing address
PO BOX 337, 1171 SCENIC DRIVE, HERCULANEUM, MO 63048-0337
(636) 479-5324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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