Individual
DR. JESSICA MICHELLE BOOTSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
830 MERAMEC STATION RD, TWIN OAKS, MO 63088-1146
(636) 225-4555
Mailing address
830 MERAMEC STATION RD, TWIN OAKS, MO 63088-1146
(636) 225-4555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012015424
MO
Other
Enumeration date
05/23/2012
Last updated
01/08/2025
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