Individual
ANDREW KEMLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1576 SMIZER STATION RD, FENTON, MO 63026-3290
(636) 225-1777
Mailing address
2417 BOARDWALK PL, SAINT LOUIS, MO 63129-4853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014016811
MO
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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