Individual
DR. BRANDON ROBERT DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
605 OLD BALLAS RD, SUITE 118, SAINT LOUIS, MO 63141-7000
(314) 993-5310
Mailing address
1710 KOALA DR, WENTZVILLE, MO 63385-3358
(636) 578-7895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014016770
MO
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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