Individual
VIBHA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4300 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2304
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
(660) 885-3690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019033227
IL
122300000X
Dentist
Primary
2025040062
MO
Other
Enumeration date
06/25/2021
Last updated
12/16/2025
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