Individual
DR. DANIEL MICHAEL D'ADDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
340 MID RIVERS MALL DR STE E, SAINT PETERS, MO 63376-1581
(636) 279-1633
Mailing address
6110 PERSHING AVE APT 204, SAINT LOUIS, MO 63112-1112
(313) 571-4022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021024371
MO
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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