Individual
MISS VALERIE PARIS O BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
665 S SKINKER, ST LOUIS, MO 63105-2300
(314) 725-0988
(314) 725-2493
Mailing address
21 LEHMUTH DR, WENTZVILLE, MO 63385-4634
(636) 327-7387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014649
MO
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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