Individual
JODY GIARDINA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
111 SOUTH MERAMEC AVENUE, SAINT LOUIS, MO 63105-1711
(314) 615-5735
Mailing address
1531 SUGAR GROVE COURT, SAINT LOUIS, MO 63146-4406
(314) 469-2309
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002683
MO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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