Individual
DR. JESSICA ALANNA SCULLY BRUNWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1351 JEFFERSON ST STE 202, WASHINGTON, MO 63090-6449
(314) 884-0478
Mailing address
1351 JEFFERSON ST STE 202, WASHINGTON, MO 63090-6449
(314) 884-0478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2015023903
MO
1223P0300X
Periodontics
Primary
2015023903
MO
Other
Enumeration date
08/10/2015
Last updated
11/12/2018
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