Individual
DR. JULIE FAHL MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
7171 DELMAR BLVD, SUITE 201, SAINT LOUIS, MO 63130-4334
(314) 721-5551
(314) 721-0123
Mailing address
7171 DELMAR BLVD, SUITE 201, SAINT LOUIS, MO 63130-4334
(314) 721-5551
(314) 721-0123
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014747
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7208
—
MO
Enumeration date
10/27/2005
Last updated
07/09/2007
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