Individual
DR. JOHN W DICKINSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
704 N MAIN STREET, DESOTO, MO 63020
(636) 586-3388
(636) 586-4065
Mailing address
704 N MAIN STREET, DESOTO, MO 63020
(636) 586-3388
(636) 586-4065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012468
MO
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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