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Individual

DR. PERDITA JAY FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
11634 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 837-9777
(314) 837-9778
Mailing address
11634 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 837-9777
(314) 837-9778

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13373
MO

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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