Individual
DR. ERIN MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
124 RICHARDSON XING, ARNOLD, MO 63010-6023
(636) 464-6444
(636) 464-6465
Mailing address
124 RICHARDSON XING, ARNOLD, MO 63010-6023
(636) 464-6444
(636) 464-6465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2003013103
MO
1223G0001X
General Practice Dentistry
Primary
2003013103
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405384108
—
MO
Enumeration date
10/20/2005
Last updated
07/13/2021
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