Individual
DR. DANIEL M AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8141 JOHN MCKEEVER RD, HOUSE SPRINGS, MO 63051-3216
(618) 967-9570
Mailing address
8141 JOHN MCKEEVER RD, HOUSE SPRINGS, MO 63051-3216
(618) 967-9570
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2005019770
MO
1223P0221X
Pediatric Dentistry
8613
CO
Other
Enumeration date
09/19/2005
Last updated
02/25/2015
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