Organization
PADEN JOHN FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADEN JOHN DMD (DENTIST/OWNER)
(636) 240-1750
Entity
Organization
Contact information
Practice address
31 OFALLON SQ, O FALLON, MO 63366-3034
(636) 240-1750
Mailing address
31 OFALLON SQ, O FALLON, MO 63366-3034
(636) 240-1750
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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