Individual
ARDYN DARJAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 HIGHWAY K, O FALLON, MO 63368-7862
(636) 240-0115
Mailing address
2941 HIGHWAY K, O FALLON, MO 63368-7862
(636) 240-0115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019024725
MO
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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