Organization
E. BROWN, DDS, C. HOLLANDER, DDS, M. FERNANDEZ, DDS, D. AUTRY, DMD LLC
Active
Other names
Pediatric Dentistry of Sunset Hills
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL AUTRY DMD (OWNER)
(314) 822-2764
Entity
Organization
Contact information
Practice address
3555 SUNSET OFFICE DR STE 210, SAINT LOUIS, MO 63127-1021
(314) 822-2764
Mailing address
3555 SUNSET OFFICE DR STE 210, SAINT LOUIS, MO 63127-1021
(314) 822-2764
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
015079
MO
1223P0221X
Pediatric Dentistry
015561
MO
1223P0221X
Pediatric Dentistry
2004013229
MO
1223P0221X
Pediatric Dentistry
2005019770
MO
1223P0221X
Pediatric Dentistry
2013016355
MO
1223P0221X
Pediatric Dentistry
2014017371
MO
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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