Individual
DR. LAURA RICHARDS CAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., MS
Contact information
Practice address
1431 US HIGHWAY 61, FESTUS, MO 63028-4109
(636) 232-9869
Mailing address
1431 US HIGHWAY 61, FESTUS, MO 63028-4109
(636) 232-9869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027682
IL
122300000X
Dentist
2009021095
MO
1223P0300X
Periodontics
Primary
2009021095
MO
Other
Enumeration date
09/13/2010
Last updated
07/13/2013
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