Organization
GREGORY S. ST. JOHN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S ST. JOHN DDS (PRESIDENT)
(636) 458-9300
Entity
Organization
Contact information
Practice address
16429 VILLAGE PLAZA VIEW DR, WILDWOOD, MO 63011-4913
(636) 458-9300
Mailing address
16429 VILLAGE PLAZA VIEW DR, WILDWOOD, MO 63011-4913
(636) 458-9300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
014718
MO
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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