Individual
MEGAN MICHELLE GULETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12 HUTCHINSON RD, ELLISVILLE, MO 63011-5702
(636) 391-0122
(636) 391-0132
Mailing address
12 HUTCHINSON RD, ELLISVILLE, MO 63011-5702
(636) 391-0122
(636) 391-0122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017017261
MO
Other
Enumeration date
06/14/2017
Last updated
01/25/2021
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