Individual
ALYSSA JANUARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 299-0819
Mailing address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 299-0819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026027346
MO
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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