Organization
ELIZABETH R FASSLER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH REITZ FASSLER DDS (OWNER DENTIST)
(636) 937-5118
Entity
Organization
Contact information
Practice address
110 SOUTH 2ND ST, FESTUS, MO 63028
(636) 937-5118
(636) 937-3643
Mailing address
110 SOUTH 2ND ST, FESTUS, MO 63028
(636) 937-5118
(636) 937-3643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15559
MO
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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