Individual
COURTNEY GRACE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2726 HIGHWAY K, O FALLON, MO 63368-7884
(217) 971-9686
Mailing address
2726 HIGHWAY K, O FALLON, MO 63368-7884
(217) 971-9686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024028463
MO
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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