Individual
QUINN MONTGOMERY RAY LYDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8859 LADUE RD, SAINT LOUIS, MO 63124-2045
(314) 983-8011
Mailing address
6425 ENSLEY LN, MISSION HILLS, KS 66208-1933
(816) 977-5436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025020186
MO
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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