Individual
JESSICA K YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4055 LINDELL BLVD, ST LOUIS, MO 63108
(314) 535-7701
(314) 535-0385
Mailing address
4055 LINDELL BLVD, SAINT LOUIS, MO 63108-3201
(314) 495-8179
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011923A
IN
122300000X
Dentist
Primary
2010016296
MO
122300000X
Dentist
2466
MT
Other
Enumeration date
06/20/2010
Last updated
03/31/2017
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