Individual
DR. STEPHANIE LYNN MALONEY COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2426 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 273-5866
(636) 273-5349
Mailing address
9000 WATSON RD, SUITE 101, SAINT LOUIS, MO 63126-2217
(314) 842-7500
(314) 842-8401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010019976
MO
1223G0001X
General Practice Dentistry
2010019976
MO
Other
Enumeration date
06/30/2010
Last updated
11/11/2020
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