DR. John Edgar Gentles SR., DDS

NPI #1568575090 in Florissant, Missouri

Provider Information

NPI Number: 1568575090
Entity Type: Individual
Name: DR. John Edgar Gentles SR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4143 N US HIGHWAY 67
City: Florissant
State: Missouri
ZIP Code: 63034-2825
Phone: (314) 355-1401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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