Individual
MARY M KRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13001 N OUTER 40 RD STE 360, TOWN AND COUNTRY, MO 63017-5941
(314) 626-4579
Mailing address
13001 N OUTER 40 RD STE 360, TOWN AND COUNTRY, MO 63017-5941
(314) 626-4579
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2019021343
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019021343
MISSOURI PROFESSIONAL LICENSE
MO
Enumeration date
06/27/2019
Last updated
10/16/2023
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