Organization
ST. CHARLES COUNTY ORTHODONCTICS WEST
Active
Organization
ST. CHARLES COUNTY ORTHODONCTICS WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK V MORRELL D.D.S (DOCTOR)
(636) 332-5550
Entity
Organization
Contact information
Practice address
1139 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3404
(636) 332-5550
(636) 332-4386
Mailing address
1139 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3404
(636) 332-5550
(636) 332-4386
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13333
MO
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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