Individual
DAKODA APODACA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 JEFFCO BLVD STE 110, ARNOLD, MO 63010-3999
(636) 461-0933
Mailing address
3540 JEFFCO BLVD STE 110, ARNOLD, MO 63010-3999
(636) 461-0933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020020659
MO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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