Individual
AMANDA JILLAIN DARLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
485 WILDWOOD PKWY, SUITE 5, BALLWIN, MO 63011-2667
(636) 227-8400
(636) 227-8403
Mailing address
485 WILDWOOD PKWY, SUITE 5, BALLWIN, MO 63011-2667
(636) 227-8400
(636) 227-8403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008005853
MO
Other
Enumeration date
04/16/2007
Last updated
05/01/2008
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