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Individual

MISS LAUREN ANN KAVANAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL HYGIENE ASSIS

Contact information

Practice address
189 BAKER AVE, WEBSTER DENTAL CARE, WEBSTER GROVES, MO 63119
(314) 961-1160
(314) 961-7822
Mailing address
9239 SILVERCREST DR, ST LOUIS, MO 63126
(314) 843-3420

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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