Organization
DEMKO ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAQUELINE ANNE DEMKO (ORTHODONTIST)
(314) 576-4955
Entity
Organization
Contact information
Practice address
14377 WOODLAKE DR, STE 216, CHESTERFIELD, MO 63017
(314) 576-4955
(314) 576-3811
Mailing address
14377 WOODLAKE DRIVE, STE 216, CHESTERFIELD, MO 63017
(314) 576-4955
(314) 576-3811
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015993
MO
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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