Individual
DR. MARY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
65 CENTRE POINTE DR STE 200, SAINT PETERS, MO 63304-8569
(636) 441-3466
(636) 441-5330
Mailing address
65 CENTRE POINTE DR STE 200, SAINT PETERS, MO 63304-8569
(636) 441-3466
(636) 441-5330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010027549
MO
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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