Individual
DR. JUSTIN K FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1032 RONDALE CT, DARDENNE PRAIRIE, MO 63368-7368
(636) 949-2587
Mailing address
8100 SOUTHPARK CT, SAINT LOUIS, MO 63125-1012
(314) 775-4251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018017601
MO
Other
Enumeration date
06/03/2018
Last updated
09/09/2020
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