Organization
DENNIS SENDEROVICH D.D.S., P.C.
Active
Other names
O'Fallon Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS SENDEROVICH DDS (PRESIDENT)
(636) 561-7072
Entity
Organization
Contact information
Practice address
9979 WINGHAVEN BLVD STE 202, O FALLON, MO 63368-3628
(636) 561-7072
Mailing address
9979 WINGHAVEN BLVD STE 202, O FALLON, MO 63368-3628
(636) 561-7072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2002011686
MO
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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