Individual
MRS. GENEVIEVE MARIE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
12360 MANCHESTER RD., STE 204, DES PERES, MO 63131-4302
(314) 900-6886
(636) 887-3694
Mailing address
1002 SCHROEDER CREEK BLVD., WENTZVILLE, MO 63385-3558
(314) 900-6886
(636) 887-3694
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2010040607
MO
Other
Enumeration date
05/12/2011
Last updated
02/03/2026
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