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Individual

DR. LINZI ANNE CAVANAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
809 S. LINDBERGH, ST. LOUIS, MO 63131
(314) 993-4960
Mailing address
1848 ASTON WAY, CHESTERFIELD, MO 63005
(636) 778-0352

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015696
MO

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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