Individual
JANE CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22 N. EUCLID SUITE 220, SAINT LOUIS, MO 63108
(314) 367-7702
Mailing address
22 N. EUCLID SUITE 220, SAINT LOUIS, MO 63108
(314) 367-7702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4617354
MO
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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