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Individual

TERRY DYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2758 N US HIGHWAY 67, FLORISSANT, MO 63033-1402
(314) 837-6644
(314) 837-6646
Mailing address
2758 N US HIGHWAY 67, FLORISSANT, MO 63033-1402
(314) 837-6644
(314) 837-6646

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14255
MO

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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