Individual
SYDNEY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 S 5TH ST STE 103, SAINT CHARLES, MO 63303-4127
(649) 461-8493
Mailing address
1520 S 5TH ST STE 103, SAINT CHARLES, MO 63303-4127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025023314
MO
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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