Individual
DR. JUSTIN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
395 E CHERRY ST, TROY, MO 63379-1405
(636) 462-8599
(636) 462-8597
Mailing address
395 E CHERRY ST, TROY, MO 63379-1405
(636) 462-8599
(636) 462-8597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2005026026
MO
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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