Organization
100 CHIRO DATTILO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE DATTILO (FRANCHISEE)
(636) 795-0667
Entity
Organization
Contact information
Practice address
1084 N BALLAS RD, DES PERES, MO 63131-3706
(636) 795-0667
Mailing address
1084 N BALLAS RD, DES PERES, MO 63131-3706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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