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Individual

MR. JUSTIN M FIRTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3890 S LINDBERGH, #115, ST LOUIS, MO 63127
(314) 843-5553
(314) 487-1146
Mailing address
5524 TELEGRAPH ROAD, UNIT 101, ST LOUIS, MO 63129
(314) 487-1141
(314) 487-1146

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2021020354
MO

Other

Enumeration date
10/11/2023
Last updated
10/17/2023
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