Individual
ANDREW SCOTT MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15991 MANCHESTER RD, ELLISVILLE, MO 63011-2140
(636) 227-0400
Mailing address
15991 MANCHESTER RD, ELLISVILLE, MO 63011-2140
(636) 227-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15733
MO
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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