Individual
DR. JORDAN BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
811 HAZELWEST DR, HAZELWOOD, MO 63042-1749
(314) 731-7555
Mailing address
4337 BUTLER HILL RD STE L, SAINT LOUIS, MO 63128-3735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018018454
MO
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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