Individual
DR. STEPHEN MARK CARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12 S JACKSON ST, SUITE 3, PERRYVILLE, MO 63775-2515
(573) 547-5570
Mailing address
12 S JACKSON ST, SUITE 3, PERRYVILLE, MO 63775-2515
(573) 547-5570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013945
MO
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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