Individual
SOPHIA BEDNARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12660 LAMPLIGHTER SQUARE SHOPPING CENTER, ST. LOUIS, MO 63128
(314) 843-4040
Mailing address
12660 LAMPLIGHTER PLAZA SUITE G, ST. LOUIS, MO 63128
(314) 843-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014577
MO
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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