Individual
JESSICA MIN HUI WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 JUNCTION DR W STE 101, GLEN CARBON, IL 62034-2996
(618) 228-3100
Mailing address
7017 NASHVILLE AVE, SAINT LOUIS, MO 63117-1940
(651) 325-8866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034305
IL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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