Individual
DR. JANE ALLISON OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.M.S., D.M.D.
Contact information
Practice address
11624 GRAVOIS RD, SAINT LOUIS, MO 63126-3014
(314) 842-2442
(314) 842-2467
Mailing address
11624 GRAVOIS RD, SAINT LOUIS, MO 63126-3014
(314) 842-2442
(314) 842-2467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016009
MO
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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