Individual
MICHELLE REGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2630 HWY K, O'FALLON, MO 63368
(636) 978-8895
Mailing address
2630 HWY K, O'FALLON, MO 63368
(636) 978-8895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2000144467
MO
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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