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Individual

DR. ALICIA RENEE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
777 S NEW BALLAS RD, STE. 323W, SAINT LOUIS, MO 63141-8705
(314) 567-7372
(314) 567-7372
Mailing address
146 HOMESHIRE DR, WENTZVILLE, MO 63385-4862
(816) 830-7623

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2008016064
MO

Other

Enumeration date
06/18/2008
Last updated
06/18/2008
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