Individual
COURTNEY NICOLE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2229 S 12TH ST, SAINT LOUIS, MO 63104-4130
(314) 771-3011
Mailing address
8500 MARYLAND AVE APT 507, CLAYTON, MO 63124-2318
(478) 365-7812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024025025
MO
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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