Individual
MRS. TANYA MARIE WINDMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
189 BAKER AVE, WEBSTER GROVES, MO 63119-3732
(314) 961-1160
(314) 961-7822
Mailing address
7004 RHODES AVE, ST LOUIS, MO 63123
(314) 832-1134
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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