Individual
SARAH E DIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1405 S HANLEY RD STE 100, BRENTWOOD, MO 63144-2911
(314) 926-9474
Mailing address
8680 DELMAR BLVD APT 363, SAINT LOUIS, MO 63124-2331
(618) 751-9589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026026229
MO
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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