Organization
JAMES T FETSCH DMD LLC
Active
Other names
South County Complete Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T. FETSCH DMD (MEMBER)
(314) 849-3234
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD SUITE 240, SAINT LOUIS, MO 63128
(314) 849-3234
(314) 849-3241
Mailing address
10004 KENNERLY RD SUITE 240, SAINT LOUIS, MO 63128
(314) 849-3234
(314) 849-3241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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