Organization
BRENTWOOD FAMILY DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK QUIGLESS SR. D.D.S. (OWNER)
(314) 647-1100
Entity
Organization
Contact information
Practice address
8083 MANCHESTER RD, SAINT LOUIS, MO 63144-2817
(314) 647-1100
(314) 647-1120
Mailing address
8083 MANCHESTER RD, SAINT LOUIS, MO 63144-2817
(314) 647-1100
(314) 647-1120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016129
MO
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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