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Organization

STEPHANIE DENTON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE HEAVENER DENTON D.C. (MEMBER)
(636) 695-4570
Entity
Organization

Contact information

Practice address
1000 LAKE SAINT LOUIS BLVD, SUITE 100, LAKE ST LOUIS, MO 63367-1340
(636) 695-4570
(636) 625-4554
Mailing address
1000 LAKE SAINT LOUIS BLVD, SUITE 100, LAKE ST LOUIS, MO 63367-1340
(636) 695-4570
(636) 625-4554

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009000021
MO

Other

Enumeration date
01/23/2009
Last updated
01/23/2009
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