Organization
HURLEY FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DANIEL HURLEY D.D.S. (MANAGER)
(314) 576-1777
Entity
Organization
Contact information
Practice address
14377 WOODLAKE DR STE 211, CHESTERFIELD, MO 63017-5735
(314) 576-1777
Mailing address
14377 WOODLAKE DR STE 211, CHESTERFIELD, MO 63017-5735
(314) 576-1777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2014015542
MO
1223G0001X
General Practice Dentistry
Primary
2014015546
MO
Other
Enumeration date
12/20/2015
Last updated
12/20/2015
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