Individual
MS. AUDRA LOUISE O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-8401
Mailing address
12445 FIELDSTONE DR, FESTUS, MO 63028-5458
(636) 579-0812
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2011018562
MO
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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