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ADVANCED DENTISTRY OF O'FALLON LLC

Active
Other names
Advanced Dentistry of O'Fallon
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY BARNES (PRACTICE MANAGER)
(636) 978-7816
Entity
Organization

Contact information

Practice address
2990 HIGHWAY K, O FALLON, MO 63368-7861
(636) 978-7816
Mailing address
2990 HIGHWAY K, O FALLON, MO 63368-7861
(636) 978-7816

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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