Individual
DR. DOUGLAS JOHN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.,P.C.
Contact information
Practice address
11709 OLD BALLAS RD, CREVE COEUR, MO 63141-7029
(314) 567-3444
Mailing address
38 BEACON HILL LN, SAINT LOUIS, MO 63141-8110
(314) 469-8088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014222
MO
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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