Individual
DR. FAYE LICATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD FAGD PC
Contact information
Practice address
111 HILLTOWN VILLAGE CTR STE 200, CHESTERFIELD, MO 63017-1712
(636) 532-2101
(636) 532-2209
Mailing address
111 HILLTOWN VILLAGE CTR STE 200, CHESTERFIELD, MO 63017-1712
(636) 532-2101
(636) 532-2209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015059
MO
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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