Individual
KELLY N DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1775 SPRINGDALE BLVD, FENTON, MO 63026-5576
(636) 296-8080
Mailing address
2037 BLAND PL, SAINT LOUIS, MO 63143-1213
(847) 452-9403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022039961
MO
Other
Enumeration date
06/08/2023
Last updated
04/22/2024
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