Individual
DR. TERRY R EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12758 BOENKER LN, BRIDGETON, MO 63044-2436
(314) 739-3300
Mailing address
12758 BOENKER LN, BRIDGETON, MO 63044-2436
(314) 739-3300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
014516
MO
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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