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Individual

DR. AMY VARBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
549 MAPLEVIEW DR, UNIVERSITY CITY, MO 63130-3813
(618) 531-7819
Mailing address
2050 BLUESTONE DR, SAINT CHARLES, MO 63303-5977
(618) 531-7819

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2006002536
MO
1223P0221X
Pediatric Dentistry
8706
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400246708
MO
05
9179212
MO
Enumeration date
11/15/2006
Last updated
04/18/2011
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