Individual
BAYLIE JANE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
346 FORT ZUMWALT SQ, O FALLON, MO 63366-3065
(636) 978-6400
Mailing address
724 E HIGHWAY U, TROY, MO 63379-3404
(636) 358-7041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022018977
MO
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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