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Individual

MR. JOHN S. ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
731 W MAIN ST, FREDERICKTOWN, MO 63645-1113
(573) 783-4100
Mailing address
501 ARMORY ST, FREDERICKTOWN, MO 63645-1337
(480) 389-9610

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7574
AZ

Other

Enumeration date
10/28/2008
Last updated
05/05/2010
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