Organization
WARRENTON FAMILY DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM W STOTTS DMD (MANAGER)
(636) 887-1994
Entity
Organization
Contact information
Practice address
505 INGRAM LN, WARRENTON, MO 63383-4429
(636) 377-1233
(636) 377-4049
Mailing address
505 INGRAM LN, WARRENTON, MO 63383-4429
(636) 377-1233
(636) 377-4049
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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