Organization
FISHER DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLLIE CHRISTOPHER FISHER DMD (OWNER)
(314) 837-9777
Entity
Organization
Contact information
Practice address
11634 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 837-9777
(314) 837-9778
Mailing address
11634 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 837-9777
(314) 837-9778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12781
MO
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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