Individual
DR. BRENTON PATRICK RUOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2440 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-2320
(314) 696-1544
Mailing address
2440 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-2320
(314) 696-1544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018020288
MO
1223G0001X
General Practice Dentistry
019032971
IL
1223G0001X
General Practice Dentistry
2018020288
MO
Other
Enumeration date
06/19/2018
Last updated
06/27/2023
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