Individual
BRIAR MAKAY TIEFENBRUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4121 ELM PARK DR, SAINT LOUIS, MO 63128-1918
(314) 845-2730
Mailing address
533 E 6TH ST, WASHINGTON, MO 63090-2905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022019317
MO
Other
Enumeration date
06/06/2022
Last updated
04/24/2023
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