Individual
DR. MARA KRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5800 HIGHLANDS PLAZA DR, APT. 128, SAINT LOUIS, MO 63110-1356
(513) 260-8708
Mailing address
100 PIPER HILL DR, SUITE A, SAINT PETERS, MO 63376-1616
(636) 477-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030162
IL
Other
Enumeration date
07/07/2015
Last updated
07/05/2016
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