Individual
MICHELLE DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
137 BORDER AVE, SIMPSONVILLE, SC 29680-7388
(258) 505-5617
Mailing address
135 ESTES DR, SAINT CHARLES, MO 63304-5502
(248) 505-5617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022005557
MO
1223G0001X
General Practice Dentistry
9930
SC
Other
Enumeration date
06/23/2021
Last updated
06/01/2024
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