Individual
DR. MARYANN L UDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5551 WINGHAVEN BLVD., STE 210, O'FALLON, MO 63368
(636) 978-6967
(636) 978-5905
Mailing address
5551 WINGHAVEN BLVD., STE 210, O'FALLON, MO 63368
(636) 978-6967
(636) 978-5905
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2013009771
MO
Other
Enumeration date
07/01/2009
Last updated
05/01/2020
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