Individual
BRITTANY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11642 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 838-8220
Mailing address
5153 BRISTOL ROCK RD, BLACK JACK, MO 63033-7579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020040861
MO
Other
Enumeration date
04/06/2020
Last updated
07/06/2021
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