Individual
VANESSA D DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
001896
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001896
MISSOURI DENTAL HYGIENE
MO
Enumeration date
05/29/2013
Last updated
07/11/2016
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