Individual
BRITTANY BOCKHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12334 OLIVE BLVD, SAINT LOUIS, MO 63141-6443
(314) 576-3000
Mailing address
12334 OLIVE BLVD, SAINT LOUIS, MO 63141-6443
(314) 576-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014016765
MO
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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