Individual
BROCK ALEXANDER CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3115 N HIGHWAY 67, FLORISSANT, MO 63033-1602
(314) 451-0001
Mailing address
2424 S 9TH ST APT 231, SAINT LOUIS, MO 63104-4731
(618) 977-4595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019022716
MO
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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