Individual
DR. MADISON GRACE TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1630 MARKET CENTER BLVD STE 101, O FALLON, MO 63368-8407
(636) 734-7563
Mailing address
123 AVONDALE MEADOWS DR, WENTZVILLE, MO 63385-6629
(636) 328-1186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025019100
MO
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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