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Individual

DR. J. BROOKS NEWBILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
443 N NEW BALLAS RD, SUITE 207, SAINT LOUIS, MO 63141-6800
(314) 567-4240
Mailing address
443 N NEW BALLAS RD, SUITE 207, SAINT LOUIS, MO 63141-6800
(314) 567-4240

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11324
MO

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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