Dynasty Dental LLC

NPI #1598016008 in Weldon Spring, Missouri

Provider Information

NPI Number: 1598016008
Entity Type: Organization
Organization Name: Dynasty Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 24, 2012
Last Updated: Sep 24, 2012

Practice Location

Address: 810 OFALLON RD
Address 2: STE 70
City: Weldon Spring
State: Missouri
ZIP Code: 63304-8102
Phone: (636) 699-9815

Authorized Official

Name: DR. ELIZABETH J BURNS, DDS
Title: OWNER
Phone: (314) 494-7967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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