Individual
MRS. SARAH CHRISTINA NORTHCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2934 HIGHWAY K, O FALLON, MO 63368-7861
(636) 379-6905
(636) 272-6131
Mailing address
2934 HIGHWAY K, O FALLON, MO 63368-7861
(636) 379-6905
(636) 272-6131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027179
IL
1223P0300X
Periodontics
Primary
2007000508
MO
Other
Enumeration date
04/09/2008
Last updated
03/09/2015
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